-----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, QaSPhxbVOyFSc6IbjAJNkg6NN5/sWB5w7KrhddgKXy/GLgwsqdLQbTJAnQH9TwAh nnZ4j8cqrmH4e/z1V72Q+A== 0000874214-02-000030.txt : 20020611 0000874214-02-000030.hdr.sgml : 20020611 20020610160838 ACCESSION NUMBER: 0000874214-02-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20020531 FILED AS OF DATE: 20020610 COMPANY DATA: COMPANY CONFORMED NAME: LAZARUS ROCHELLE B CENTRAL INDEX KEY: 0001082206 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-WOMEN'S CLOTHING STORES [5621] DIRECTOR STATE OF INCORPORATION: DE FISCAL YEAR END: 0201 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 142 WEST 57TH ST CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 2125413300 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TAYLOR ANN STORES CORP CENTRAL INDEX KEY: 0000874214 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-WOMEN'S CLOTHING STORES [5621] IRS NUMBER: 133499319 STATE OF INCORPORATION: DE FISCAL YEAR END: 0130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10738 FILM NUMBER: 02675148 BUSINESS ADDRESS: STREET 1: 142 WEST 57TH ST CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 2125413300 4 1 lazjunf4.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP - ----------------------- ------------------------------ OMB APPROVAL FORM 4 ------------------------------ OMB Number: 3235-0287 - ----------------------- Expires: January 31, 2005 Estimated average burden hours per response ...... 0.5 _ Check this box if no longer ------------------------------ subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION --------------------------------------- Washington, D.C. 20549 ---------------------- 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(f) of the Investment Company Act of 1940 ________________________________________________________________________________ 1. Name and Address of Reporting Person* Lazarus Rochelle B. - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o AnnTaylor Stores Corporation 142 West 57th Street - -------------------------------------------------------------------------------- (Street) New York New York 10019 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol AnnTaylor Stores Corporation (ANN) ________________________________________________________________________________ 3. IRS or Social Security Number of Reporting Person (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year May 2002 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ________________________________________________________________________________ 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 ================================================================================
5. 6. 4. Amount of Owner- Securities Acquired (A) or Securities ship 3. Disposed of (D) Beneficially Form: 7. Transaction (Instr. 3, 4 and 5) Owned at End Direct Nature of 2. Code ------------------------------- of (D) or Indirect 1. Transaction (Instr. 8) (A) Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
(Print or Type Responses) (Over) SEC 2270 (10-94) FORM 4 (continued) ================================================================================ 2 Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. Owner- ship 9. Form Number of of Deriv- 2. Deriv- ative Conver- 5. 7. ative Secur- 11. sion Number of Title and Amount Secur- ities Nature or Derivative 6. of Underlying 8. ities Bene- of Exer- 4. Securities Date Securities Price Bene- ficial- In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially ly direct Price Trans- action or Disposed Expiration ---------------- Deriv- Owned Owned Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End at end ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of of Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month Month ship Security Secur- Day/ ------- ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Stock Option $29.30 5/2/02 A V 3,000 5/2/03 5/2/12 Common 3,000 3,000 D (right to buy) See See Stock See See Note 1 Note 2 Note 2 Note 2 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: Note 1: This number reflects a post 3-for-2 stock split exercise price. Note 2: This number reflects a post 3-for-2 stock split number. /s/Rochelle B. Lazarus 5/31/2002 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date 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 reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Page 2 4 3 lazjunf4.pdf UNOFFICIAL PDF VERSION FORM 4 FILING begin 644 lazjunf4.pdf M)5!$1BTQ+C,-)>+CS],-"C(S(#`@;V)J#3P\(`TO3&EN96%R:7IE9"`Q(`TO M3R`R-2`-+T@@6R`Q,#DY(#(U,R!=(`TO3"`R,3(T,"`-+T4@,3(R-C4@#2]. 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