0001209191-19-021167.txt : 20190325
0001209191-19-021167.hdr.sgml : 20190325
20190325163300
ACCESSION NUMBER: 0001209191-19-021167
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190321
FILED AS OF DATE: 20190325
DATE AS OF CHANGE: 20190325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAKED HEZY
CENTRAL INDEX KEY: 0001548777
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35535
FILM NUMBER: 19703041
MAIL ADDRESS:
STREET 1: C/O TILLY'S, INC.
STREET 2: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TILLY'S, INC.
CENTRAL INDEX KEY: 0001524025
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600]
IRS NUMBER: 452164791
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: (949) 609-5599
MAIL ADDRESS:
STREET 1: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-21
0
0001524025
TILLY'S, INC.
TLYS
0001548777
SHAKED HEZY
C/O TILLY'S, INC.
10 WHATNEY
IRVINE
CA
92618
1
1
1
0
Chief Strategy Officer
Class A Common Stock
2019-03-21
4
C
0
30000
0.00
A
30000
D
Class A Common Stock
2019-03-21
5
G
0
E
30000
0.00
D
0
D
Class B Common Stock
2019-03-21
4
C
0
30000
0.00
D
Class A Common Stock
30000
6232073
D
The shares reported herein are held by The Hezy Shaked Living Trust under which the Reporting Person is trustee and beneficiary.
Class B Common Stock has no expiration date and is convertible on a one-for-one basis into shares of Class A Common Stock at the election of the holder or automatically upon the occurrence of certain events.
/s/ Michael L. Henry, Attorney-in-Fact for Hezy Shaked
2019-03-25