FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
[ ] Check this box if
no longer subject ----------------------------
to Section 16. OMB APPROVAL
Form 4 or Form 5 ----------------------------
obligations may OMB Number: 3325-0362
continue. See Expires: Januiary 31, 2005
instruction 1(b) Estimated average burden
[ ] Form 3 Holdings hours per response . . . 1.0
Reported ----------------------------
[X] Form 4 Filed pursuant to Section 16(a) of the Securities
Trans- Exchange Act of 1934, Section 17(a) of the Public
actions Utility Holding Company Act of 1935 or
Reported Section 30(f) of the Investment Company Act 1940
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1.Name and Address of 2.Issuer Name and Ticker 6.Relationship of Reporting
Reporting Person* or Trading Symbol Person to Issuer (check
all Applicable)
Fossil Inc.
(FOSL)
Steinberg Michael December 2002 X Director 10% Owner
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(Last) (First) (MI) 3.IRS or Soc.Sec.No. 4.Statement for Officer Other
of Reporting Person Month/Year --- ---
(Voluntary) (give title below) (specify below)
2280 N. Greenville
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(Street) 5. If Amendment,
Date of Original 7.Individual or Joint/Group
(Month/Year) Filing (Check Applicable
Richardson TX 75082 Line)
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(City) (State) (Zip)
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 2. Transaction 2A. Deemed 3. Transaction 4. Security Acquired (A)
(Inst.3) Date Execu- Code or Disposed of (D)
(Month/ tion (Instr.8) (Inst.3, 4 & 5)
Day/Yr) Date, ---------------------------------------------------
if any (A)
(Month/ Amount (D) Price
Day/
Year)
Common Stock 10/15/98 P4 4,500 A $11.817
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Common Stock 6/12/02 G4 4,500 D (1)
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5. Amount of Securities 6. Ownership Form 7. Nature of Indirect
Beneficially Owned at Direct (D) or Beneficial Ownership
at End Issuer's Fiscal Indirect (I) (Inst. 4)
Year (Inst. 3 & 4)
0 D
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0 D
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*If form is filed by more than one reporting person, see Instruction 4(b)(v)
Potential persons who are to 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.
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Table II - Derivative Securities Acquired, Disposed of,
or Beneficially Owned (e.g., puts, calls,
warrants, options, convertible security)
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1. Title of 2. Conversion 3. Transaction 3A. Deemed 4. Transaction
Derivative or Exercise Date (Month Execu- Code
Security Price of (Day/Year) tion (Instr. 8)
(Instr.3) Derivative Date, if
Security any
(Month/
Day/
Year)
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5. Number of Derivative 6. Date Exercisable 7. Title & Amount of
Securities Acquired & Expiration Date Underlying Securities
(A) or Disposed of (D) (Mon./Day/Year) (Inst. 3 & 4)
(Instr. 3, 4 & 5)
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(A) (D) Date Expiration Title Amount or number
Exercisable Date of Shares
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8. Price of Derivative 9. Number of Derivative Securities 10. Ownership Form of 11. Nature of Indirect
Security (Inst.5) Beneficially Owned at end of Derivative Security Beneficial
Month (Instr. 4) Direct (D) or Ownership (Instr.4)
Indirect (I) (Instr.4)
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Explanation of Responses:
(1) Bona fide gift for no consideration of any kind.
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/s/ Michael Steinberg 2/13/03
**Intentional misstatements or omissions of facts constitute Federal ------------------------------------------
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
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