------------------------------
OMB APPROVAL
------------------------------
OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response ....... 0.5
------------------------------
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
[_] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print or Type Responses)
================================================================================
1. Name and Address of Reporting Person*
Lauren Ralph
--------------------------------------------------------------------------------
(Last) (First) (Middle)
650 Madison Avenue
--------------------------------------------------------------------------------
(Street)
New York NY 10022
--------------------------------------------------------------------------------
(City) (State) (Zip)
================================================================================
2. Issuer Name AND Ticker or Trading Symbol
Polo Ralph Lauren Corporation (RL)
================================================================================
3. IRS Identification Number of Reporting Person, if any (Voluntary)
================================================================================
4. Statement for Month/Day/Year
December 16, 2002
================================================================================
5. If Amendment, Date of Original (Month/Day/Year)
================================================================================
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Chief Executive Officer
================================================================================
7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form Filed by One Reporting Person
[_] Form Filed by More than One Reporting Person
================================================================================
TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
================================================================================
5.
Amount of 6.
4. Securities Owner-
Securities Acquired (A) or Beneficially ship
2. 2A. 3. Disposed of (D) Owned Follow- Form: 7.
Transac- Deemed Transaction (Instr. 3, 4 and 5) ing Reported Direct Nature of
tion Execution Code ------------------------------- Transac- (D) or Indirect
1. Date Date, if any Instr. 8) (A) tions(s) Indirect Beneficial
Title of Security (Month/ (Month/ ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) Day/Year) Day/Year) Code V (D) and 4) (Instr.4) (Instr. 4)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
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 NUMBER.
(Over)
SEC 1474 (9-02)
Page 1
FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
================================================================================
9.
Number 10.
of Owner-
Deriv- ship
ative Form
2. Secur- of
Conver- 5. 7. ities Deriv- 11.
sion 3A Number of Title and Amount Bene- ative Nature
or Deemed Derivative 6. of Underlying 8. ficially Secur- of
Exer- Exe- 4. Securities Date Securities Price Owned ity: In-
cise 3. cution Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct
Price Trans- Date, action or Disposed Expiration Date ---------------- Deriv- ing Re- (D) or Bene-
1. of action if Code of (D) (Month/Day/Year) Amount ative ported In- ficial
Title of Deriv- Date any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
-----------------------------------------------------------------------------------------------------------------------------------
Class A
Class B Common
Common Stock 1-for-1 12/16/02 J(1) 690,839 (2) Stock 690,839 29,493,288 D
------------------------------------------------------------------------------------------------------------------------------------
Class A
Class B Common
Common Stock 1-for-1 (2) Stock 11,659 I (3)
------------------------------------------------------------------------------------------------------------------------------------
Class A
Class B Common
Common Stock 1-for-1 (2) Stock 12,217,571 I (4)
------------------------------------------------------------------------------------------------------------------------------------
Class A
Class B Common
Common Stock 1-for-1 (2) Stock 1,557,503 I (5)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses:
(1) Distribution of shares of Class B Common Stock from RL Holding, L.P. and RL
Family, L.P. (change from indirect to direct beneficial ownership).
(2) Shares of Class B Common Stock are immediately convertible into an equal
number of shares of Class A Common Stock.
(3) These Securities are held by RL Holding Group, Inc. a Delaware corporation
controlled by the Reporting Person.
(4) These securities are held by RL Holding, L.P., a Delaware limited
partnership the sole general partner of which is RL Holding Group, Inc., a
Delaware corporation controlled by the Reporting Person.
(5) These securities are held by RL Family, L.P., a Delaware limited
partnership the sole general partner of which is the Reporting Person.
/s/ Edward W. Scheuermann December 18, 2002
---------------------------------------- -------------------------
**Signature of Reporting Person Date
Edward W. Scheuermann
Attorney-in-Fact for Ralph Lauren
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB number.
Page 2
POWER OF ATTORNEY
KNOW EVERYONE BY THESE PRESENTS, that I, Ralph Lauren, hereby make, constitute
and appoint Mr. Edward W. Scheuermann, for a period of one year, with the full
power of substitution, my true and lawful agent and attorney-in-fact and confer
upon such agent and attorney-in-fact the power and authority in my name, place
and stead, in any way which I could do if personally present:
(1) to execute for and on my behalf, in my capacity as an officer, director
and/or stockholder of Polo Ralph Lauren Corporation (the "Company"), or
in my capacity as an officer, director and/or stockholder of RL Holding
Group, Inc., a Delaware corporation and the general partner of RL
Holding, L.P., a Delaware partnership ("RL Holding"), or in my capacity
as the general partner of RL Family, L.P., a Delaware partnership ("RL
Family"), any and all forms and filings required pursuant to Section
16(a) of the Securities Exchange Act of 1934, as amended, and the rules
thereunder, including, without limitation, Forms 3, 4 and 5;
(2) to do and perform any and all acts for and on my behalf (in any of the
capacities described in paragraph (1) above)) which may be necessary or
desirable to complete and execute any such forms or filings and timely
file such forms or filings with the United States Securities and
Exchange Commission and any stock exchange or similar authority; and
(3) to execute and deliver on my behalf (in any of the capacities described
in paragraph (1) above) any other forms, filings, consents,
authorizations, certificates, instruments or other documents necessary
or desirable to authorize, approve, effect, facilitate or consummate
any of the transactions described above.
IN WITNESS WHEREOF, I have hereunto set my hand on this 13th day of December,
2002.
/s/ Ralph Lauren
--------------------------------------------
Ralph Lauren