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