FORM 4
[ X ] 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
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden
hours per response...
0.5
                      
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
                      

1. Name and Address of Reporting Person *

HOLEN MARVIN L
2. Issuer Name and Ticker or Trading Symbol

99 CENTS ONLY STORES [ NYSE: NDN ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

C/O 99? ONLY STORES, 4000 UNION PACIFIC AVENUE
3. Date of Earliest Transaction (MM/DD/YYYY)

1/13/2012
(Street)

CITY OF COMMERCE, CA 90023
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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)
Code V Amount (A) or (D) Price
Common Stock   1/13/2012     D (1)    26000   D $22   (2) 0   D    

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy)   $18.82   9/7/2011     D   (1)       9000      (3) 9/7/2021   Common Stock   9000   $ 0   (4) (5) 0   D    
Stock Option (right to buy)   $17.88   9/14/2010     D   (1)       9000      (6) 9/14/2020   Common Stock   9000   $ 0   (4) (7) 0   D    
Stock Option (right to buy)   $13.52   9/16/2009     D   (1)       9000      (8) 9/16/2019   Common Stock   9000   $ 0   (4) (9) 0   D    
Stock Option (right to buy)   $10.67   9/23/2008     D   (1)       9000      (10) 9/23/2018   Common Stock   9000   $ 0   (4) (11) 0   D    
Stock Option (right to buy)   $10.11   11/14/2007     D   (1)       9000      (12) 11/14/2017   Common Stock   9000   $ 0   (4) (13) 0   D    
Stock Option (right to buy)   $14.17   6/4/2007     D   (1)       3000      (14) 6/4/2017   Common Stock   3000   $ 0   (4) (15) 0   D    
Stock Option (right to buy)   $11.47   6/6/2006     D   (1)       3000      (16) 6/6/2016   Common Stock   3000   $ 0   (4) (17) 0   D    
Stock Option (right to buy)   $18   5/21/2004     D   (1)       3000      (18) 5/21/2014   Common Stock   3000   $ 0   (4) (19) 0   D    
Stock Option (right to buy)   $29.84   5/20/2003     D   (1)       3000      (20) 5/20/2013   Common Stock   3000   $ 0   (4) (21) 0   D    
Stock Option (right to buy)   $29.81   5/30/2002     D   (1)       3000      (22) 5/30/2012   Common Stock   3000   $ 0   (4) (21) 0   D    

Explanation of Responses:
( 1)  Disposed of in connection with the Agreement and Plan of Merger, dated as of October 11, 2011, by and among 99 Cents Only Stores (the "Company"), Number Holdings, Inc., a Delaware corporation ("Parent"), and Number Merger Sub, Inc., a California corporation and a wholly owned subsidiary of Parent ("Merger Sub").
( 2)  As a result of the merger of Merger Sub with and into the Company (the "Merger"), each share of the Company's common stock, no par value (the "Company common stock"), was converted into the right to receive $22.00 in cash, without interest and less any applicable withholding taxes.
( 3)  The options were scheduled to become exercisable in three equal annual installments beginning on September 7, 2012, and at the effective time of the Merger, the options became fully vested.
( 4)  Each outstanding stock option granted under the Company's equity incentive plans that represented the right to acquire Company common stock, whether or not then vested and exercisable, was, as of immediately prior to the effective time of the Merger, fully vested and exercisable contingent on the closing of the Merger and cancelled as of the effective time of the Merger. The holder of the stock option is entitled to receive a cash payment for each share of Company common stock subject to such stock option, equal to the excess, if any, of (i) the $22.00 per share merger consideration over (ii) the option exercise price payable in respect of such share of Company common stock issuable under such stock option, without interest and less any applicable withholding taxes.
( 5)  This option was cancelled in exchange for a cash payment of $28,620.
( 6)  The options became exercisable in three equal annual installments beginning on September 14, 2011, and at the effective time of the Merger, the unvested portion became fully vested.
( 7)  This option was cancelled in exchange for a cash payment of $37,080.
( 8)  The options became exercisable in three equal annual installments beginning on September 16, 2010, and at the effective time of the Merger, the unvested portion became fully vested.
( 9)  This option was cancelled in exchange for a cash payment of $76,320.
( 10)  The options became exercisable in three equal annual installments beginning on September 23, 2009, and at the effective time of the Merger, the unvested portion became fully vested.
( 11)  This option was cancelled in exchange for a cash payment of $101,970.
( 12)  The options became exercisable in three equal annual installments beginning on November 14, 2008.
( 13)  This option was cancelled in exchange for a cash payment of $107,010.
( 14)  The options became exercisable in three equal annual installments beginning on June 4, 2008
( 15)  This option was cancelled in exchange for a cash payment of $23,490.
( 16)  The options became exercisable in three equal annual installments beginning on June 6, 2007.
( 17)  This option was cancelled in exchange for a cash payment of $31,590.
( 18)  The options became exercisable in three equal annual installments beginning on May 21, 2005.
( 19)  This option was cancelled in exchange for a cash payment of $12,000.
( 20)  The options became exercisable in three equal annual installments beginning on May 30, 2004.
( 21)  This option was cancelled in exchange for a cash payment of $0 because the exercise price exceeds the $22.00 per share merger consideration.
( 22)  The options became exercisable in three equal annual installments beginning on May 30, 2003.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
HOLEN MARVIN L
C/O 99? ONLY STORES
4000 UNION PACIFIC AVENUE
CITY OF COMMERCE, CA 90023
X



Signatures
/s/ Marvin L. Holen 1/13/2012
** 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 control number.
99C Only Stores (NYSE:NDN)
Historical Stock Chart
From Apr 2024 to May 2024 Click Here for more 99C Only Stores Charts.
99C Only Stores (NYSE:NDN)
Historical Stock Chart
From May 2023 to May 2024 Click Here for more 99C Only Stores Charts.