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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 | ||||||||
Employee Stock Option | $ 26 | 01/10/2005 | A | V | 40,000 | 01/10/2006 | 01/09/2015 | Common Stock, $1.00 Par Value | 40,000 | (2) | 40,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
NESCI MARK A C/O BURLINGTON COAT FACTORY WAREHOUSE 1830 ROUTE 130 BURLINGTON, NJ 08016 |
X | Exec. V.P., & C.O.O. |
/s/ Paul C. Tang by power of attorney previously filed | 01/12/2005 | |
**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) | This report is being filed to correct an earlier report filed on January 12, 2005 which mistakenly reported in Table I the receipt on January 10, 2005 of a grant of options to purchase 40,000 shares of the common stock, $1.00 par value per share, of the company as the acquisition of the common stock. No shares of common stock were acquired by the undersigned on such date. The receipt of the grant of options is being reported herewith in Table II. |
(2) | Granted under 2005 Stock Incentive Plan, which is a Rule 16b-3 Plan, subject to stockholder approval. |