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*
C/O THE CHILDREN'S PLACE RETAIL STORES |
915 SECAUCUS ROAD |
(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)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
SVP, Planning, Allocation & IT |
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3. Date of Earliest Transaction
(Month/Day/Year) 05/26/2009
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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 |
Common Stock, par value $0.10 per share |
05/26/2009 |
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M |
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12,000
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A |
$17.92
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22,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$34.26
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22,587
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$34.32
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22,187
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$34.43
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21,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$34.77
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21,487
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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100
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D |
$34.88
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21,387
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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200
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D |
$34.95
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21,187
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$34.96
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20,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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100
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D |
$35.05
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20,787
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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600
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D |
$35.26
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20,187
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$35.31
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19,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$35.39
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19,587
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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600
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D |
$35.4
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18,987
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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200
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D |
$35.44
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18,787
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$35.5
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18,387
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$35.54
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18,087
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
|
S |
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200
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D |
$35.55
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17,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$35.58
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17,487
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
|
S |
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400
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D |
$35.63
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17,087
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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100
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D |
$35.64
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16,987
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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100
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D |
$35.65
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16,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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200
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D |
$35.66
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16,687
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$35.68
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16,287
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$35.69
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15,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
|
S |
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400
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D |
$35.71
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15,487
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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100
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D |
$35.73
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15,387
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$35.79
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15,087
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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200
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D |
$35.8
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14,887
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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300
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D |
$35.81
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14,587
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D |
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Common Stock, par value $0.10 per share |
05/26/2009 |
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S |
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400
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D |
$35.82
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14,187
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D |
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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 Options (Right to Buy) |
$17.92
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05/26/2009 |
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M |
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12,000 |
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08/14/2013 |
Common Stock |
12,000 |
$0
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0 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ Richard Flaks |
05/28/2009 |
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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. |
Unassociated Document
POWER
OF ATTORNEY
Know all by these presents, that the
undersigned hereby constitutes and appoints each of Elena Lagdameo-Hogan
and Bernie
McCracken his true and lawful attorney-in-fact to:
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1.
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execute
for and on behalf of the undersigned Schedules 13D and 13G, Form ID, and
Forms 3, 4 and 5 in accordance with Sections 13 and 16(a) of the
Securities Exchange Act of 1934 (the “Exchange Act”) and the rules
promulgated thereunder;
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2.
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do
and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete the execution of any such
Schedules 13D or 13G, Form ID application for EDGAR codes, and Forms 3, 4
or 5, and the timely filing of such schedules and forms with the United
States Securities and Exchange Commission and any other authority;
and
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3.
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take
any other action of any type whatsoever in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to, in
the best interest of, or legally required by, the undersigned, including,
without limitation, the execution and filing of a Form 4 with respect to a
transaction which may be reported on a Form 5, it being understood that
the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as such attorney-in-fact may
approve in his or her discretion.
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The undersigned hereby grants to each
such attorney-in-fact full power and authority to do and perform all and every
act and thing whatsoever requisite, necessary and proper to be done in the
exercise of any of the rights and powers herein granted, as fully and to all
intents and purposes as he might or could do in person, with full power of
substitution and resubstitution, hereby ratifying and confirming all that such
attorney-in-fact, or his or her substitute or substitutes, shall lawfully do or
cause to be done by virtue of this Power of Attorney and the rights and powers
herein granted. The undersigned acknowledges that such
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming any of the undersigned's responsibilities to
comply with Sections 13 and 16 of the Exchange Act.
This Power of Attorney shall remain in
full force and effect until the undersigned is no longer required to file any
Schedules 13D and 13G and Forms 3, 4 and 5 in accordance with Sections 13 and
16(a) of the Exchange Act and the rules promulgated thereunder with respect to
the undersigned's holdings of and transactions in securities issued by The
Children's Place Retail Stores, Inc., unless earlier revoked by the undersigned
in a signed writing delivered to such attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has
caused this Power of Attorney to be executed as of this 28th day of May
2009.
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By:
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/s/ Richard
Flaks |
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Richard
Flaks
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