-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MaIoY4E7aWuLes34vyj4FDpeeFC8eVAtv3xKkFhYRwJP5R+GNwF/ARCkQM3gjJZ6 N53TASim7KLXZqrjkDt7ZA== 0000790414-03-000017.txt : 20030214 0000790414-03-000017.hdr.sgml : 20030214 20030213185009 ACCESSION NUMBER: 0000790414-03-000017 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GOTTSCHALKS INC CENTRAL INDEX KEY: 0000790414 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 770159791 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09100 FILM NUMBER: 03561978 BUSINESS ADDRESS: STREET 1: 7 RIVER PARK PL E STREET 2: P O BOX 28920 CITY: FRESNO STATE: CA ZIP: 93720 BUSINESS PHONE: 2094348000 MAIL ADDRESS: STREET 1: 7 RIVER PARK PLACE EAST STREET 2: P O BOX 28920 CITY: FRESNO STATE: CA ZIP: 93720 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: SCHMIDT MIKE CENTRAL INDEX KEY: 0001209988 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O GOTTSCHALKS INC STREET 2: 7 RIVER PARK PLALCE CITY: FESNO STATE: CA ZIP: 93720 BUSINESS PHONE: 5594344789 MAIL ADDRESS: STREET 1: C/O GOTTSCHALKS INC STREET 2: 7 RIVER PARK PLALCE CITY: FESNO STATE: CA ZIP: 93720 5 1 form5ms.htm FORM 5 Form 5 DOC

FORM 5

[    ]    Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[    ]    Form 3 Holdings Reported
[    ]    Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL
OMB Number 3235-0362
Expires: January 31, 2005
Estmated average burden hours per response ... 1.0


1.    Name and address of Reporting Person*
Schmidt, Mike

2.    Issuer Name and ticker or Trading Symbol
Gottschalks Inc.    (GOT)

6.    Relationship of Reporting Person to Issuer

(Check all applicable)

     (Last)        (First)       (Middle)
c/o:    Gottschalks Inc.
7 River Park Place East
     (Street)   
Fresno, California    93720
     (City)        (State)       (Zip)

3.    IRS Identification Number of Reporting Person, if an Entity (Voluntary)

4.    Statement for Month/Year

December 2002

5.    If Amendment, Date of Original (Month/Year)

      Director            10% Owner
X     Officer (give title below)           Other (specify below)
   Senior VP/Director of Stores

7.    Individual or Joint/Group Filing (Check applicable line)
X     Form filed by One Reporting Person
      Form filed by More than One Reporting Person


Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.    Title of Security
  (Instr. 3)

2.    Transaction Date

2A. Deemed Execution Date, if any

3.    Transaction Code
  (Instr. 8)

4.    Securities Acquired (A)
  or Disposed of (D)   (Instr.3, 4 and 5)

5.    Amount of Securities Beneficially Owned at the end of Issuer's

6. Ownership
Form:
Direct (D) or

7.    Nature of
Indirect
Beneficial

  

(Month/Day/Year)

(Month/Day/Year)

Code

Amount

(A) or (D)

Price

Fiscal Year
(Instr. 3 and 4)

Indirect (I)
(Instr. 4)

Ownership
(Instr. 4)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly
*    If the form is filed by more than one reprting person, see Instruction 4(b)(v).


Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1.    Title of Derivative Security
  (Instr. 3)

2.    Conversion or Exercise Price of Derivative Security

3.    Transaction
Date
(Month/Day/Year)

3A.   Deemed Execution
Date, if any
(Month/Day/Year)

4.    Transaction
Code
  (Instr. 8)

5.    Number of Derivative Securities Acquired (A) or Disposed of (D)
  (Instr. 3, 4 and 5)

6.    Date Exercisable and Expiration Date
(Month/Day/Year)

7.    Title and Amount of Underlying Securities
  (Instr. 3 and 4)

8.    Price of Derivative Security
  (Instr. 5)

9.    Number of Derivative Securities Beneficially Owned at End 0f Year
  (Instr. 4)

10.    Ownership Form of Derivative Security.
Direct (D) or Indirect (I)
  (Instr. 4)

11.    Nature of Indirect Beneficial Ownership
  (Instr. 4)

 

 

 

 

 

(A)

(D)

Date
Exer-
cisable

Expira-
tion
Date

Title

Amount or Number of Shares

 

 

 

 

Options to Purchase Common Stock

05/03/2002

05/03/2012

10,000

* $ 2.64

D

Explanation of Responses:

* Options are granted at the market price as of 5/3/02 at $2.64 per share and are exercisable over the next ten years at the rate of 25% per year from date of issue.

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff.(a)

    /s/ Mike Schmidt    
        Mike Schmidt
**Signature of Reporting Person

   February 13, 2003   
Date


©    H.J. Meyer Consulting October 31, 2002 GRAPHIC 4 gottlogo.jpg LOGO begin 644 gottlogo.jpg M_]C_X``02D9)1@`!`@$`2`!(``#_[0<64&AO=&]S:&]P(#,N,``X0DE-`^T` M`````!``2`````$``0!(`````0`!.$))300-```````$````>#A"24T#\P`` M````"```````````.$))300*```````!```X0DE-)Q````````H``0`````` M```".$))30/U``````!(`"]F9@`!`&QF9@`&```````!`"]F9@`!`*&9F@`& M```````!`#(````!`%H````&```````!`#4````!`"T````&```````!.$)) M30/X``````!P``#_____________________________`^@`````________ M_____________________P/H`````/____________________________\# MZ`````#_____________________________`^@``#A"24T$"```````$``` M``$```)````"0``````X0DE-!!0```````0````".$))300,``````6%```` M`0```'`````<```!4```),````5I`!@``?_8_^``$$I&248``0(!`$@`2``` M_^X`#D%D;V)E`&2``````?_;`(0`#`@("`D(#`D)#!$+"@L1%0\,#`\5&!,3 M%1,3&!$,#`P,#`P1#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`$-"PL- M#@T0#@X0%`X.#A04#@X.#A01#`P,#`P1$0P,#`P,#!$,#`P,#`P,#`P,#`P, M#`P,#`P,#`P,#`P,#`P,_\``$0@`'`!P`P$B``(1`0,1`?_=``0`!__$`3\` M``$%`0$!`0$!``````````,``0($!08'"`D*"P$``04!`0$!`0$````````` M`0`"`P0%!@<("0H+$``!!`$#`@0"!0<&"`4###,!``(1`P0A$C$%05%A$R)Q M@3(&%)&AL4(C)!52P6(S-'*"T4,')9)3\.'Q8W,U%J*R@R9$DU1D1<*C=#87 MTE7B9?*SA,/3=>/S1B>4I(6TE<34Y/2EM<75Y?569G:&EJ:VQM;F]C='5V=W MAY>GM\?7Y_<1``("`0($!`,$!08'!P8%-0$``A$#(3$2!$%187$B$P4R@9$4 MH;%"(\%2T?`S)&+A7U5F9VAI:FML;6YO8G-T=79W>'EZ>W MQ__:``P#`0`"$0,1`#\`W4RL].IKOS:ZK1O:0X[)C<6M+Q7_`&E0Q<[J.;TS M(S;FX=+6@/VZ]OUB'2J:*OL M-9I8YKV!S[FVMW69/J_SNZN7['L=_@%5'5'^AU0X]-!IZ;CV-HNL8Q[K+:K# M3]J>^/'Q4S21,'J-V3U!E;L&BF@56V6RQK]SPP/K]*6_HZF.:[V*KB] M8H?TMF=U!]/3+'LI8W,./ZV.YQ:^RP"IGLHNN;L_S/T:'#XJ2I(F5E/QL+-S M:6X^3B*/0:K1? MZEPK;%NUOJ,<*FCZ5#Z]CGL_G4>'Q4UTZ".ILL^K]>33=1DONS*ZGWMQ_1+6 MV,^T/8SU/=_4_P"#_1J]MN8]H>PVEI_I&,<;=]IK]#&=1=] M#8^VU#A*FM(2D)\K*L'3,1E(J+LG.^SA^UN]U?IFYC&V?2W>HK;+ZJZ\*F^W M'HNLRK<:IEE0/K65LHS;NTEKFN&K7L>WW-AEY]EU'YS-&[QI_/>FUGK?1_P`(K22A%]$H`WJ=59HQLZRNC;L:S0N8 MT_F4W%OK5LT^BRQ1KQ\K&PV8F!E/Q&-,N]./=V]T@JRDEZE(XS*\?TL7)?C/ M(#3;7`=`^146#J%58;3EO8[<76F&EMA/)MK>US'\_NHR20M34;B93K*2/J4@'[9;L]/J5S&L!&T1!)Y=]'Z7N4/3ZK[`.HW!E>K62(W M3NW_`$?I[E:22]2FO4.L5'<.IWE\[BXGZ1@-_2-C8_VM_/3XV.:38]]CK;;G M;[+'$DN/B24=)`WU4__9`#A"24T$!@``````!P`!``$``0$`_^X`#D%D;V)E M`&2``````?_;`(0`#`@("`D(#`D)#!$+"@L1%0\,#`\5&!,3%1,3&!$,#`P, M#`P1#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`P,#`$-"PL-#@T0#@X0%`X. M#A04#@X.#A01#`P,#`P1$0P,#`P,#!$,#`P,#`P,#`P,#`P,#`P,#`P,#`P, M#`P,#`P,_\``$0@`-P#?`P$B``(1`0,1`?_=``0`#O_$`(8``0`"`P$!```` M```````````$!P(#!0$&`0$!`0$``````````````````0,"$``"`0,#`@4# M`@,$"P`````!`@,`!`41(1+P,5$B,A,&04(48H)A<:*!4G(6D;'1DK+2(S-# M4Q41`0$``@$#!0`````````````!$1(A,6$"08&1(D+_V@`,`P$``A$#$0`_ M`.[3KK>E*P4IUUO2E`IUUO2E`IUUO2E`IUUO2E`ZZWIUUO2E`ZZWIUUO2E`Z MZWI2E`ZZWI2E`ZZWI2E`ZZWI2E`ZZWI2E`ZZWI2E`ZZWIUUO2E!__]#NU/Q6 M.6\=WE;C!%NY&VO\*@5U\*RW%E>V*MQFD5N)^NCK[?+]C5EXS-5RI_D.'$YA M@LQ)`IT]SD0Q_4M9Y&6R3\0V>ICGCY@L?,=6(T;_``^FN1BK".UF9,C$Q:,E M9(P=&U_@:[68LL+B+>WNHXY1/,0T2LVPTXNW-35QG(E7R6&$L8Y[Q/>N9MDC M)T7735MOT5IQ5UCLSSM3"+:Z"EHW0GBVGZ=:U_-+9KZ''Y&W)DM1J&([`/Q: M-_Z>-9?&K'2^2X4:)"C%V^FXXU<2QL6@:5BA^A`\O+]VE=OY+;L/ MC6+3B=(V0,?#R-IK3CGL)XDPOGNC&?Q1:+(Y]Z^7.-,B*0QTTTTU^GAWKZ''VC1?%,G&JD\DDXZ?7R?2I, M6]!Y%P;79M*[5]\TR.-N6L[['J\D9T,BL55@.SHK*WE:D MQ>P]N+C'7$=DN/'&6Y"CBA:(7-U*-?.3IH-N7^]6 MK*7]B8\/G&A_'DDE')6&CKAZDJ'\RQ\LF7MKWU6LL00.-U#`DZ:_J5 MJN,9HD6F2Q5[:WR6^GXBGW/,WFT M7EKW^ZN/_P#'26UEG)]N*)?4?N8^F,;UTL(DEK@\E)"GN,%)16')6(0[ M8R7&GLIHNA.@+MY46H=_%^)?R6IV`\T?\5/IK=EGQ]E9V]C>3S6TNHN"8DY: MM]F['_QUNS0&2QMKF+-6<)LY9>+E">/+A^F1::\=QLP?X=S*UI-`&D53()#K MN-0O'^JN1=9.UN+Z2&VB$*0L8]`==2I(Y&NK\9!:^:4`\?:(+?34LE<+$6)N MLU6W!DB'(R$DZ@FHUE?8Z5+C(W-H(,`.Y"_\U9765$$[6[8G_IJQ&X;D1V_[ M@J)B<7>6F1-M`PANX>14L/*P`_GZ):V/\VS=O<_CW.-!D4\64<@QT]7#U4GP M/,A>V$EVBV6@C,:DJ-=0QUY(^OWK6.O71KWY"T0SL95/;>6WCDD7L0Q+^O\` M5Q"UY]*X\NH__]'NU'N5N$99[61HIDW5U.AJ17E8*CI\ESHVF$4D@V$IC7E4 M"=\GD&5+J5I(T=I%Y=P7TY;_`+:ZQC0]Q0*H[5UM1#AOLQBT,5K('MV[PR`. MO[5;TU[=9_,7%H;1.,$;C1Q$H34'N-JF$`]ZQ]N,?04VHA8F"2R`F702*=1J M`=_Y&MEW\@^1/(8O=!A;9E,:$:']M2]J\X)X5,T:K4M[(#=P*7OR#/Q`):3! M$78#@AV_M6MP`':O"JGN*2X$6RNKP.;IR/R"_N:Z`#EKR]"^6L_\P9H2,)N$ MZZZJ)(U;3_#4@!1VKPHA[BF:.5>R7^7NEFNW+"H*DP9#-XX+%#,9 M+==A#(`Z@>`Y^FI@51V%>D`]Z;40[G)Y/(<5F;1%[(H"J/VK6R?/9^WB2*VF M"J@``X(=A_-:WA%'84*J>XIM1$M,ME[:.:2)PLT[FIW%?"G!/"FU$"ZR^=SMO;<()`A)+'RJ=V/)NXK&'Y) M\D4'E*.1^HC0?ZEJ9P3PIP3P%-J(4><^06ML(K:4(`21Y%.Y/+[A6,6=^1JT MD_O`3R`!G]M-3QUX_;^JI_!/"G!/`4VH@)F_D,LJRS3:RQJRHX55(#C1O2!6 MZ'._((EXF -----END PRIVACY-ENHANCED MESSAGE-----