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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MARQUIS CHARLES K. TIFFANY & CO. 727 FIFTH AVENUE NEW YORK, NY 10022 |
 X |  |  |  |
/s/ Patrick B. Dorsey, Attorney-In-Fact | 03/25/2013 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 1,002 shares in the total are the shares underlying RSUs. |
(2) | Charles Marquis 2012 Irrevocable Trust, as Trustee. Reporting person disclaims beneficial ownership of Tiffany & Co. stock held by the Charles Marquis 2012 Irrevocable Trust. |
(3) | 22,961 shares were transferred from Marquis Ventures LLC to the Charles and Cynthia Marquis Joint Revocable Trust dated 12/8/03. Marquis Ventures LLC is a California limited liability company. Reporting person disclaims beneficial ownership of Tiffany & Co. stock held by Marquis Ventures LLC. |
(4) | Charles and Cynthia Marquis Joint Revocable Trust dated 12/8/03. |
(5) | The 23,771 shares of Tiffany & Co. stock held by the Charles and Cynthia Marquis Joint Revocable Trust dated 12/8/03 include the 22,961 shares of Tiffany & Co. stock transferred from Marquis Ventures LLC and the previously reported transfer of 56,000 shares of Tiffany & Co. stock by the trust to the Charles Marquis 2012 Irrevocable Trust. |