0000892712-11-001044.txt : 20111230 0000892712-11-001044.hdr.sgml : 20111230 20111230112625 ACCESSION NUMBER: 0000892712-11-001044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111228 FILED AS OF DATE: 20111230 DATE AS OF CHANGE: 20111230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Worthington John M CENTRAL INDEX KEY: 0001411816 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11084 FILM NUMBER: 111288362 MAIL ADDRESS: STREET 1: N56 W17000 RIDGEWOOD DRIVE CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KOHLS Corp CENTRAL INDEX KEY: 0000885639 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 391630919 STATE OF INCORPORATION: WI FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: N56 W17000 RIDGEWOOD DR CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 BUSINESS PHONE: 4147835800 MAIL ADDRESS: STREET 1: N54 W13600 WOODALE DR CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 FORMER COMPANY: FORMER CONFORMED NAME: KOHLS CORPORATION DATE OF NAME CHANGE: 19930328 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2011-12-28 0000885639 KOHLS Corp KSS 0001411816 Worthington John M N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS WI 53051 0 1 0 0 Chief Administrative Officer Common Stock 2011-12-28 4 A 0 757.86 A 152674.13 D Common Stock 1547 I Held in Reporting Person's 401(k) account as of December 19, 2011 Common Stock 270 I Held in Reporting Person's Employee Stock Ownership Plan account as of December 19, 2011 Award of additional restricted stock in lieu of a $0.25 per share dividend issued by the Company on all Common Stock, which was payable December 28, 2011. These shares vest on the same schedule as the underlying restricted shares. Includes 152,602.39 unvested shares of restricted stock. (Richard D. Schepp P.O.A.) 2011-12-30