0000768835-21-000079.txt : 20210528 0000768835-21-000079.hdr.sgml : 20210528 20210528165223 ACCESSION NUMBER: 0000768835-21-000079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210526 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOTTSCHALK MARLA C CENTRAL INDEX KEY: 0001241912 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 21981227 MAIL ADDRESS: STREET 1: C/O POTBELLY CORPORATION STREET 2: 111 NORTH CANAL, SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIG LOTS INC CENTRAL INDEX KEY: 0000768835 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 061119097 STATE OF INCORPORATION: OH FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 4900 E DUBLIN GRANVILLE RD CITY: COLUMBUS STATE: OH ZIP: 43081-7651 BUSINESS PHONE: 614-278-6800 MAIL ADDRESS: STREET 1: 4900 E DUBLIN GRANVILLE RD CITY: COLUMBUS STATE: OH ZIP: 43081-7651 4 1 wf-form4_162223511017674.xml FORM 4 X0306 4 2021-05-26 0 0000768835 BIG LOTS INC BIG 0001241912 GOTTSCHALK MARLA C 4900 E. DUBLIN-GRANVILLE ROAD COLUMBUS OH 43081 1 0 0 0 Common Stock 2021-05-26 4 A 0 2208 0 A 24106 D Jennifer L. Smith, Attorney-in-fact for Marla C. Gottschalk 2021-05-28