0001127602-23-016920.txt : 20230526
0001127602-23-016920.hdr.sgml : 20230526
20230526094753
ACCESSION NUMBER: 0001127602-23-016920
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230524
FILED AS OF DATE: 20230526
DATE AS OF CHANGE: 20230526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MANSELL KEVIN
CENTRAL INDEX KEY: 0001238809
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41040
FILM NUMBER: 23963647
MAIL ADDRESS:
STREET 1: C/O KOHLS LEGAL
STREET 2: N56 W170000 RIDGEWOOD DR
CITY: MENOMONEE FALLS
STATE: WI
ZIP: 53051
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
X0407
4
2023-05-24
0000883569
Fossil Group, Inc.
FOSL
0001238809
MANSELL KEVIN
901 S. CENTRAL EXPWY
RICHARDSON
TX
75080
1
0
Common Stock
2023-05-24
4
A
0
35476
0
A
69959
D
Restricted Stock Units that shall become one hundred percent (100%) vested and convertible into shares of Common Stock on the earlier of the first anniversary of the Date of Grant or the first Annual Stockholders Meeting following the Date of Grant.
Consists of 35,476 Restricted Stock Units.
/s/ Randy S. Hyne, Attorney-in-Fact
2023-05-26