-----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, LalyRao41t2XTaFOzq65i43TljRU4IDhgPx4TKMJHcFB/C1eEUi9okUd2qj5jX/T ++NdpMh30u6F1rssq8EnWw== 0001181431-05-018051.txt : 20050321 0001181431-05-018051.hdr.sgml : 20050321 20050321183753 ACCESSION NUMBER: 0001181431-05-018051 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050310 FILED AS OF DATE: 20050321 DATE AS OF CHANGE: 20050321 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERRY ELLIS INTERNATIONAL INC CENTRAL INDEX KEY: 0000900349 STANDARD INDUSTRIAL CLASSIFICATION: MEN'S & BOYS' FURNISHINGS, WORK CLOTHING, AND ALLIED GARMENTS [2320] IRS NUMBER: 591162998 STATE OF INCORPORATION: FL FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 3000 NW 107TH AVENUE CITY: MIAMI STATE: FL ZIP: 33172 BUSINESS PHONE: 3055922830 FORMER COMPANY: FORMER CONFORMED NAME: SUPREME INTERNATIONAL CORP DATE OF NAME CHANGE: 19940531 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jakubowski Douglas CENTRAL INDEX KEY: 0001321364 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21764 FILM NUMBER: 05695198 BUSINESS ADDRESS: BUSINESS PHONE: 305-592-2830 MAIL ADDRESS: STREET 1: 3000 NW 107TH AVENUE CITY: MIAMI STATE: FL ZIP: 33172 3 1 rrd73228.xml FORM 3 - STOCK OPTION AGREEMENT DATED JUNE 19, 2003 X0202 3 2005-03-10 0 0000900349 PERRY ELLIS INTERNATIONAL INC PERY 0001321364 Jakubowski Douglas 3000 N.W. 107TH AVENUE MIAMI FL 33172 0 1 0 0 President(2) Stock Options 21.09 2004-06-19 2012-12-05 Common Stock 25000 D The options vest as follows: 6,250 on 06/19/04; 6,250 on 06/19/05; 6,250 on 06/19/06; and 6,250 on 06/19/07. (2) Mr. Jakubowski is President of Perry Ellis Menswear, LLC, a wholly owned subsidiary of Issuer. /s/ Douglas Jakubowski 2005-03-21 -----END PRIVACY-ENHANCED MESSAGE-----