0000947871-19-000758.txt : 20191023 0000947871-19-000758.hdr.sgml : 20191023 20191023175547 ACCESSION NUMBER: 0000947871-19-000758 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191023 FILED AS OF DATE: 20191023 DATE AS OF CHANGE: 20191023 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANSEN CHARLES CENTRAL INDEX KEY: 0001260375 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35641 FILM NUMBER: 191164527 MAIL ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SEARS HOMETOWN & OUTLET STORES, INC. CENTRAL INDEX KEY: 0001548309 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 800808358 STATE OF INCORPORATION: DE FISCAL YEAR END: 0201 BUSINESS ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 BUSINESS PHONE: 847-286-7000 MAIL ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 FORMER COMPANY: FORMER CONFORMED NAME: Sears Hometown & Outlet Stores, Inc. DATE OF NAME CHANGE: 20120425 4 1 ownership.xml X0306 4 2019-10-23 1 0001548309 SEARS HOMETOWN & OUTLET STORES, INC. SHOS 0001260375 HANSEN CHARLES 5500 TRILLIUM BOULEVARD SUITE 501 HOFFMAN ESTATES IL 60192 0 1 0 0 VP General Counsel & Secretary Common Stock 2019-10-23 4 D 0 8000 3.21 D 0 D Restricted Stock Units 0 2019-10-23 4 D 0 43726 3.21 D Common Stock 43726 0 D Disposed of as a result of the merger (the "Merger") pursuant to the previously announced Agreement and Plan of Merger, dated as of June 1, 2019, among the issuer, Transform Holdco LLC, a Delaware limited liability company, and Transform Merger Corporation, a Delaware corporation (the "Merger Agreement"). At the effective time of the Merger pursuant to the Merger Agreement, each outstanding share of common stock of the issuer was cancelled and converted automatically into the right to receive $3.21 in cash. Disposed of as a result of the Merger. At the effective time of the Merger pursuant to the Merger Agreement, each unvested restricted stock unit was cancelled and converted into the right to receive $3.21 in cash. /s/ Charles J. Hansen 2019-10-23