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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Subscription rights (3) | $ 3.27 (4) | 10/11/2012(1) | X(2) | 105,919,060 | 09/11/2012 | 10/08/2012 | Common Stock | 23,100,000 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SEARS HOLDINGS CORP 3333 BEVERLY ROAD HOFFMAN ESTATES, IL 60179 |
X |
By: /s/ Dorian R. Williams, Vice President, Deputy General Counsel and Assistant Secretary | 10/15/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Reporting Person disposed of the shares of Sears Hometown and Outlet Stores, Inc. common stock on October 11, 2012 pursuant to the exercise of the previously distributed subscription rights. The Reporting Person disposed of such shares following receipt by the Reporting Person of a cash dividend of $100 million from Sears Hometown and Outlet Stores, Inc. in respect of such shares of Sears Hometown and Outlet Stores then held by the Reporting Person. |
(2) | Disposition of securities to holders of subscription rights upon exercise of those subscription rights. |
(3) | Reporting the closing of the subscription rights offering. The subscription rights were previously reported as disposed of by the Reporting Person on September 11, 2012. |
(4) | The price per whole share of Sears Hometown and Outlet Stores, Inc. common stock was $15.00. Each subscription right entitled the holder of such right to purchase from Sears Holdings Corporation 0.218091 of a share of Sears Hometown and Outlet Stores, Inc. common stock. |