0001567619-18-004505.txt : 20181024 0001567619-18-004505.hdr.sgml : 20181024 20181024184804 ACCESSION NUMBER: 0001567619-18-004505 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181022 FILED AS OF DATE: 20181024 DATE AS OF CHANGE: 20181024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Paez Luis S CENTRAL INDEX KEY: 0001488259 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21764 FILM NUMBER: 181137346 MAIL ADDRESS: STREET 1: PERRY ELLIS INTERNATIONAL, INC. STREET 2: 3000 NW 107TH AVENUE CITY: MIAMI STATE: FL ZIP: 33172 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: 1231 BUSINESS ADDRESS: STREET 1: 3000 NW 107TH AVENUE CITY: MIAMI STATE: FL ZIP: 33172 BUSINESS PHONE: 3055922830 MAIL ADDRESS: STREET 1: 3000 NW 107TH AVENUE CITY: MIAMI STATE: FL ZIP: 33172 FORMER COMPANY: FORMER CONFORMED NAME: PERRY ELLIS INTERNATIONAL INC DATE OF NAME CHANGE: 19990623 FORMER COMPANY: FORMER CONFORMED NAME: SUPREME INTERNATIONAL CORP DATE OF NAME CHANGE: 19940531 4 1 doc1.xml FORM 4 X0306 4 2018-10-22 1 0000900349 PERRY ELLIS INTERNATIONAL, INC PERY 0001488259 Paez Luis S 3000 N.W. 107TH AVENUE MIAMI FL 33172 0 1 0 0 Chief Information Officer Common Stock 2018-10-22 4 D 0 42356 D 0 D Stock Appreciation Right 18.19 2018-10-22 4 D 0 7369 D 2013-03-19 2019-03-18 Common Stock 7369 0 D Disposed of pursuant to merger agreement between issuer, Feldenkreis Holdings, LLC and GF Merger Sub, Inc. /s/ Jorge Narino, Attorney-in-Fact for Luis S. Paez 2018-10-24