20th Oct 2010 17:16
FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person *
BURMAN TERRY LEE |
2. Issuer Name and Ticker or Trading Symbol
SIGNET JEWELERS LTD [ SIG ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__ X __ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
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(Last) (First) (Middle)
CLARENDON HOUSE, 2 CHURCH STREET |
3. Date of Earliest Transaction (MM/DD/YYYY)
10/19/2010 |
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(Street)
HAMILTON, D0 HM11 (City) (State) (Zip) |
4. If Amendment, Date Original Filed (MM/DD/YYYY)
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6. Individual or Joint/Group Filing (Check Applicable Line)
_ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security (Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Shares, $0.18 par value |
10/19/2010 |
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M |
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731 |
A |
$13.13 |
10582 |
D |
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Common Shares, $0.18 par value |
10/19/2010 |
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S |
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731 |
D |
$32.68 |
9851 |
D |
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Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title and Amount of Securities Underlying Derivative Security (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 |
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Stock Option (Right to Buy) |
$13.13 |
10/19/2010 |
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M |
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731 |
10/10/2010 |
1/6/2011 |
Common Shares |
731 |
$13.13 |
0 |
D |
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Explanation of Responses: |
Reporting Owners |
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Reporting Owner Name / Address |
Relationships |
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Director |
10% Owner |
Officer |
Other |
BURMAN TERRY LEE CLARENDON HOUSE 2 CHURCH STREET HAMILTON, D0 HM11 |
X |
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Signatures |
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Mark A Jenkins, Attorney in Fact |
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10/19/2010 |
** Signature of Reporting Person |
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
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 control number. |
Related Shares:
SIG.L