0001548309-18-000033.txt : 20180205 0001548309-18-000033.hdr.sgml : 20180205 20180205170637 ACCESSION NUMBER: 0001548309-18-000033 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180203 FILED AS OF DATE: 20180205 DATE AS OF CHANGE: 20180205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIRD E J CENTRAL INDEX KEY: 0001560693 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35641 FILM NUMBER: 18575106 MAIL ADDRESS: STREET 1: C/O 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 5 1 wf-form5_151786838269402.xml FORM 5 X0306 5 2018-02-03 0 0 1 0001548309 SEARS HOMETOWN & OUTLET STORES, INC. SHOS 0001560693 BIRD E J 5500 TRILLIUM BOULEVARD SUITE 501 HOFFMAN ESTATES IL 60192 1 1 0 0 SVP and CFO Phantom Stock (stock units) 0.0 2017-08-15 4 A 0 L 40000 0 A 2018-01-30 2020-01-30 Common Stock 40000.0 40000 D Each share of Phantom Stock (stock units) is the economic equivalent of one share of the Company's common stock. The shares of Phantom Stock (stock units) vest in three substantially equal installments. The first installment vested on January 30, 2018 and was payable, and was paid, solely in cash. The remaining installments vest on January 30, 2019 and January 30, 2020 and are payable solely in cash. See the Reporting Person's Form 4 filed on January 31, 2018. By: /s/ Charles J. Hansen, as Attorney-in-Fact for E.J. Bird 2018-02-05