SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CHILDRENS PLACE RETAIL STORES INC
[ PLCE ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 12/05/2007
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 (right to buy) |
$17.42
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12/05/2007
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D |
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6,000 |
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09/29/2013 |
Common Stock |
6,000 |
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0 |
D |
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Employee Stock Option (right to buy) |
$24.45
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12/05/2007
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A |
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6,000 |
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09/29/2013 |
Common Stock |
6,000 |
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6,000 |
D |
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Employee Stock Option (right to buy) |
$44.12
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12/05/2007
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D |
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6,000 |
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01/30/2016 |
Common Stock |
6,000 |
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0 |
D |
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Employee Stock Option (right to buy) |
$44.19
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12/05/2007
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A |
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6,000 |
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01/30/2016 |
Common Stock |
6,000 |
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6,000 |
D |
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Explanation of Responses: |
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/s/ Malcolm L. Elvey |
12/06/2007 |
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** Signature of Reporting Person |
Date |
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). |
** 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. |
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. |
EXHIBIT 99.1
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FOOTNOTE
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(3) The reporting person and the issuer have amended the option to buy shares
of common stock of the issuer issued to the reporting person on (i)
September 30, 2003 to increase the exercise price to the high and low
trading price over the balance of the calendar year following the record
date of the grant and (ii) January 28, 2006 to increase the exercise price
to the average of the high and low trading price on the date determined by
the issuer to be used as the measurement date for such option in restating
its financial statements, in each case as discussed by the issuer in its
Form 10-K report for the year ended February 3, 2007; the other terms of
the option, including when the option shall be exercisable and the
expiration date, have not been changed and no consideration was paid to the
reporting person in connection with the amendment. For Section 16 reporting
purposes only, the increase in the exercise price is deemed to be a
cancellation of the pre-amendment option in exchange for the grant of
replacement option with the increased exercise price.