0000892712-12-000509.txt : 20120928 0000892712-12-000509.hdr.sgml : 20120928 20120928164316 ACCESSION NUMBER: 0000892712-12-000509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120926 FILED AS OF DATE: 20120928 DATE AS OF CHANGE: 20120928 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: 001-11084 FILM NUMBER: 121117227 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: KOHLS Corp CENTRAL INDEX KEY: 0000885639 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 391630919 STATE OF INCORPORATION: WI FISCAL YEAR END: 0202 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 X0306 4 2012-09-26 0000885639 KOHLS Corp KSS 0001238809 MANSELL KEVIN N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS WI 53051-5660 1 1 0 0 Chairman, President, CEO Common Stock 2012-09-26 4 F 0 143 51.18 D 283022.32 D Common Stock 2012-09-26 4 A 0 1221.03 A 284243.35 D Common Stock 138000 I By family trust Common Stock 42287 I By Trust Common Stock 42287 I By Trust for Benefit of Spouse Common Stock 20138 I By Spouse Common Stock 4628 I By children Represents shares used to satisfy tax withholding obligation upon vesting of restricted stock under the Company's 2003 Long-Term Compensation Plan. Award of additional restricted stock in lieu of a $0.32 per share dividend issued by the Company on all Common Stock, which was payable September 26, 2012. These shares vest on the same schedule as the underlying restricted shares. Includes 145,202.35 unvested restricted shares. Mr. Mansell is not the trustee or beneficiary of the family trust. He disclaims ownership of the trust's shares for purposes of Section 16 of the Exchange Act and, accordingly, disclaims any obligation to report its transactions. This report should not be deemed an admission that the reporting person is the beneficial owner of his spouse's shares for purposes of Section 16 or any other purpose. This report should not be deemed an admission that the reporting person is the beneficial owner of his children's shares for purposes of Section 16 or any other purpose. (Richard D.Schepp P.O.A.) 2012-09-28