Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 4)*
Shoe Carnival, Inc.
(Name of Issuer)
Common Stock, $0.01 par value per share
(Title of Class of Securities)
824889109
(CUSIP Number)
December 31, 2022
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ Rule 13d-1(b)
x Rule 13d-1(c)
¨ Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
(continued on the following pages)
| CUSIP No. 824889109 | 13G |
| 1 |
NAMES OF REPORTING PERSONS
Leigh Anne Weaver | ||
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) ¨
(b) ¨ | ||
| 3 |
SEC USE ONLY
| ||
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States | ||
|
NUMBER OF |
5 |
SOLE VOTING POWER
1,228,315 (1) | |
|
SHARES BENEFICIALLY OWNED BY |
6 |
SHARED VOTING POWER
0 | |
|
EACH REPORTING PERSON |
7 |
SOLE DISPOSITIVE POWER
1,228,315 (1) | |
|
WITH:
|
8 |
SHARED DISPOSITIVE POWER
0 | |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,228,315 (1) | ||
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) ¨
N/A | ||
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
4.5% (1)(2) | ||
| 12 |
TYPE OF REPORTING PERSON (See Instructions)
IN | ||
| (1) | Represents shares held by the J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2018 GRAT”), shares held by the J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2019 GRAT”) and shares held by the J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2020 GRAT”) after the distribution of 267,917 shares from the 2020 GRAT to J. Wayne Weaver as an annuity payment on May 23, 2022. Leigh Anne Weaver is the sole trustee of each of the 2018 GRAT, the 2019 GRAT and the 2020 GRAT and, as sole trustee, has sole voting and dispositive power with respect to the shares held by the 2018 GRAT, the 2019 GRAT and the 2020 GRAT. |
| (2) | Based on 27,166,175 outstanding shares of the Issuer’s common stock as of November 23, 2022, as reported by the Issuer in its Quarterly Report on Form 10-Q for the period ended October 29, 2022, filed with the Securities and Exchange Commission on December 2, 2022. |
| CUSIP No. 824889109 | 13G |
| 1 |
NAMES OF REPORTING PERSONS
J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Leigh Anne Weaver | ||
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) ¨
(b) ¨ | ||
| 3 |
SEC USE ONLY
| ||
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida | ||
|
NUMBER OF |
5 |
SOLE VOTING POWER
23,272 (1) | |
|
SHARES BENEFICIALLY OWNED BY |
6 |
SHARED VOTING POWER
0 | |
|
EACH REPORTING PERSON |
7 |
SOLE DISPOSITIVE POWER
23,272 (1) | |
|
WITH:
|
8 |
SHARED DISPOSITIVE POWER
0 | |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
23,272 (1) | ||
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) ¨
N/A | ||
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.1% (1)(2) | ||
| 12 |
TYPE OF REPORTING PERSON (See Instructions)
OO | ||
| (1) | Leigh Anne Weaver, as the sole trustee of the 2018 GRAT, has sole voting and dispositive power over these shares. |
| (2) | Based on 27,166,175 outstanding shares of the Issuer’s common stock as of November 23, 2022, as reported by the Issuer in its Quarterly Report on Form 10-Q for the period ended October 29, 2022, filed with the Securities and Exchange Commission on December 2, 2022. |
| CUSIP No. 824889109 | 13G |
| 1 |
NAMES OF REPORTING PERSONS
J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver | ||
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) ¨
(b) ¨ | ||
| 3 |
SEC USE ONLY
| ||
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida | ||
|
NUMBER OF |
5 |
SOLE VOTING POWER
359,208 (1) | |
|
SHARES BENEFICIALLY OWNED BY |
6 |
SHARED VOTING POWER
0 | |
|
EACH REPORTING PERSON |
7 |
SOLE DISPOSITIVE POWER
359,208 (1) | |
|
WITH:
|
8 |
SHARED DISPOSITIVE POWER
0 | |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
359,208 (1) | ||
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) ¨
N/A | ||
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.3% (1)(2) | ||
| 12 |
TYPE OF REPORTING PERSON (See Instructions)
OO | ||
| (1) | Leigh Anne Weaver, as the sole trustee of the 2019 GRAT, has sole voting and dispositive power over these shares. |
| (2) | Based on 27,166,175 outstanding shares of the Issuer’s common stock as of November 23, 2022, as reported by the Issuer in its Quarterly Report on Form 10-Q for the period ended October 29, 2022, filed with the Securities and Exchange Commission on Decem ber 2, 2022. |
| CUSIP No. 824889109 | 13G |
| 1 |
NAMES OF REPORTING PERSONS
J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver | ||
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) ¨
(b) ¨ | ||
| 3 |
SEC USE ONLY
| ||
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida | ||
|
NUMBER OF |
5 |
SOLE VOTING POWER
845,835 (1) | |
|
SHARES BENEFICIALLY OWNED BY |
6 |
SHARED VOTING POWER
0 | |
|
EACH REPORTING PERSON |
7 |
SOLE DISPOSITIVE POWER
845,835 (1) | |
|
WITH:
|
8 |
SHARED DISPOSITIVE POWER
0 | |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
845,835 (1) | ||
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) ¨
N/A | ||
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
3.1% (1)(2) | ||
| 12 |
TYPE OF REPORTING PERSON (See Instructions)
OO | ||
| (1) | Represents shares held by the 2020 GRAT after the distribution of 267,917 shares from the 2020 GRAT to J. Wayne Weaver as an annuity payment on May 23, 2022, in accordance with the terms of the 2020 GRAT. Leigh Anne Weaver, as the sole trustee of the 2020 GRAT, has sole voting and dispositive power over these shares. |
| (2) | Based on 27,166,175 outstanding shares of the Issuer’s common stock as of November 23, 2022, as reported by the Issuer in its Quarterly Report on Form 10-Q for the period ended October 29, 2022, filed with the Securities and Exchange Commission on December 2, 2022. |
Item 1.
| (a) | Name of Issuer |
Shoe Carnival, Inc. (the “Issuer”)
| (b) | Address of Issuer’s Principal Executive Offices |
7500 East Columbia Street
Evansville, Indiana 47715
Item 2.
| (a) | Name of Person Filing |
| (i) | Leigh Anne Weaver |
| (ii) | J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2018 GRAT”) |
| (iii) | J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2019 GRAT”) |
| (iv) | J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver (the “2020 GRAT”) |
Ms. Weaver serves as the sole trustee of each of the 2018 GRAT, the 2019 GRAT and the 2020 GRAT.
| (b) | Address of Principal Business Office or, if none, Residence |
| (i) | Leigh Anne Weaver |
10 Sheffield West
Winchester, MA 01890
| (ii) | 2018 GRAT |
c/o DAR Group Investments
501 Riverside Avenue
Suite 900
Jacksonville, FL 32202
| (iii) | 2019 GRAT |
c/o DAR Group Investments
501 Riverside Avenue
Suite 900
Jacksonville, FL 32202
| (iv) | 2020 GRAT |
c/o DAR Group Investments
501 Riverside Avenue
Suite 900
Jacksonville, FL 32202
| (c) | Citizenship |
| (i) | Leigh Anne Weaver: United States |
| (ii) | The 2018 GRAT is a trust formed under the laws of the State of Florida |
| (iii) | The 2019 GRAT is a trust formed under the laws of the State of Florida |
| (iv) | The 2020 GRAT is a trust formed under the laws of the State of Florida |
| (d) | Title of Class of Securities |
Common Stock, par value $0.01 per share (“Common Stock”)
| (e) | CUSIP Number |
824889109
| Item 3. | If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: |
| (a) | ¨ | Broker or dealer registered under section 15 of the Act. | |
| (b) | ¨ | Bank as defined in section 3(a)(6) of the Act. | |
| (c) | ¨ | Insurance company as defined in section 3(a)(19) of the Act. | |
| (d) | ¨ | Investment company registered under section 8 of the Investment Company Act of 1940. | |
| (e) | ¨ | An investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E). | |
| (f) | ¨ | An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F). | |
| (g) | ¨ | A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G). | |
| (h) | ¨ | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. | |
| (i) | ¨ | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940. | |
| (j) | ¨ | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J). | |
| (k) | ¨ | Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
| Item 4. | Ownership |
| (a) | Amount Beneficially Owned |
| (i) | Leigh Anne Weaver: | 1,228,315 shares* | ||
| (ii) | 2018 GRAT: | 23,272 shares** | ||
| (iii) | 2019 GRAT: | 359,208 shares*** | ||
| (iv) | 2020 GRAT: | 845,835 shares**** |
* Includes 23,272 shares held by the 2018 GRAT, 359,208 shares held by the 2019 GRAT and 845,835 shares held by the 2020 GRAT. Ms. Weaver is the sole trustee of each of the 2018 GRAT, the 2019 GRAT and the 2020 GRAT and, as sole trustee, has sole voting and dispositive power with respect to the shares held by the 2018 GRAT, the 2019 GRAT and the 2020 GRAT.
** Ms. Weaver is the sole trustee of the 2018 GRAT.
*** Ms. Weaver is the sole trustee of the 2019 GRAT.
****Ms. Weaver is the sole trustee of the 2020 GRAT.
| (b) | Percent of Class |
| (i) | Leigh Anne Weaver: | 4.5% | |
| (ii) | 2018 GRAT: | 0.1% | |
| (iii) | 2019 GRAT: | 1.3% | |
| (iv) | 2020 GRAT: | 3.1% |
The percentage of shares beneficially owned is based on 27,166,175 outstanding shares of the Issuer’s common stock as of November 23, 2022, as reported by the Issuer in its Quarterly Report on Form 10-Q for the period ended October 29, 2022, filed with the Securities and Exchange Commission on December 2, 2022.
| (c) | Number of shares as to which such person has: |
| (i) | Sole power to vote or to direct the vote |
| (i) | Leigh Anne Weaver: | 1,228,315 | ||
| (ii) | 2018 GRAT: | 23,272 | ||
| (iii) | 2019 GRAT: | 359,208 | ||
| (iv) | 2020 GRAT: | 845,835 |
| (ii) | Shared power to vote or to direct the vote |
| (i) | Leigh Anne Weaver: | 0 | ||
| (ii) | 2018 GRAT: | 0 | ||
| (iii) | 2019 GRAT: | 0 | ||
| (iv) | 2020 GRAT: | 0 |
| (iii) | Sole power to dispose or to direct the disposition of |
| (i) | Leigh Anne Weaver: | 1,228,315 | ||
| (ii) | 2018 GRAT: | 23,272 | ||
| (iii) | 2019 GRAT: | 359,208 | ||
| (iv) | 2020 GRAT: | 845,835 |
| (iv) | Shared power to dispose or to direct the disposition of |
| (i) | Leigh Anne Weaver: | 0 | ||
| (ii) | 2018 GRAT: | 0 | ||
| (iii) | 2019 GRAT: | 0 | ||
| (iv) | 2020 GRAT: | 0 |
| Item 5. | Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following x.
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not Applicable
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person |
Not Applicable
| Item 8. | Identification and Classification of Members of the Group |
Not Applicable
| Item 9. | Notice of Dissolution of Group |
Not Applicable
| Item 10. | Certification |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 13, 2023
| By: | /s/ Leigh Anne Weaver | |
| Leigh Anne Weaver | ||
| J. Wayne Weaver 2018 Grantor Retained | ||
| Annuity Trust for Leigh Anne Weaver | ||
| By: | /s/ Leigh Anne Weaver | |
| Leigh Anne Weaver, Trustee | ||
| J. Wayne Weaver 2019 Grantor Retained | ||
| Annuity Trust for Leigh Anne Weaver | ||
| By: | /s/ Leigh Anne Weaver | |
| Leigh Anne Weaver, Trustee | ||
| J. Wayne Weaver 2020 Grantor Retained | ||
| Annuity Trust for Leigh Anne Weaver | ||
| By: | /s/ Leigh Anne Weaver | |
| Leigh Anne Weaver, Trustee | ||
EXHIBIT INDEX
| Exhibit Number | Exhibit |
| 99.1 | Joint Filing Agreement dated February 13, 2023 by and between Leigh Anne Weaver, the J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Leigh Anne Weaver, the J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver and the J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver |