0001127602-22-012195.txt : 20220419 0001127602-22-012195.hdr.sgml : 20220419 20220419175647 ACCESSION NUMBER: 0001127602-22-012195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220415 FILED AS OF DATE: 20220419 DATE AS OF CHANGE: 20220419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McKelvey Gregory A CENTRAL INDEX KEY: 0001425186 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41040 FILM NUMBER: 22835843 MAIL ADDRESS: STREET 1: 2515 MCKINNEY AVE. STREET 2: SUITE 1200 CITY: DALLAS STATE: TX ZIP: 75201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fossil Group, Inc. CENTRAL INDEX KEY: 0000883569 STANDARD INDUSTRIAL CLASSIFICATION: WATCHES, CLOCKS, CLOCKWORK OPERATED DEVICES/PARTS [3873] IRS NUMBER: 752018505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 901 S CENTRAL EXPRESSWAY CITY: RICHARDSON STATE: TX ZIP: 75080 BUSINESS PHONE: 9722342525 MAIL ADDRESS: STREET 1: 901 S CENTRAL EXPRESSWAY CITY: RICHARDSON STATE: TX ZIP: 75080 FORMER COMPANY: FORMER CONFORMED NAME: FOSSIL INC DATE OF NAME CHANGE: 19940218 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2022-04-15 0000883569 Fossil Group, Inc. FOSL 0001425186 McKelvey Gregory A 901 S. CENTRAL EXPRESSWAY RICHARDSON TX 75080 1 Executive Vice President Common Stock 2022-04-15 4 A 0 40811 0 A 904875 D Common Stock 2022-04-15 4 F 0 34048 10.885 D 870827 D Restricted Stock Units that shall become vested and convertible into shares of Common Stock as to 1/3 on 4/15/23; as to 1/3 on 4/15/24; and as to 1/3 on 4/15/25, cumulatively. Includes 124,349 Restricted Stock Units subject to a vesting schedule and 9,554 shares held through a 401(k) plan account. /s/ Gregory A. McKelvey 2022-04-19