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FORM 4 OMB APPROVAL
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OMB Number: 3235-0287
Expires: September 30, 1998
Estimated average burden
hours per response..... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
/X/ Check box if no
longer subject to Filed pursuant to Section 16(a) of the Securities
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the
or Form 5 obligations Public Utility Holding Company Act of 1935
may continue. See or Section 30(f) of the Investment Company
Instruction 1(b). Act of 1940
(Print or Type Response)
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<S> <C> <C> <C> <C> <C> <C>
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Mitsukoshi Ltd. Tiffany & Co. (NYSE: TIF) to Issuer (Check all applicable)
- ------------------------------------------- -------------------------------------------- Director X 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
c/o Mitsukoshi (U.S.A.) Inc. Number of Reporting Month/Year Officer (give Other (Specify
12 East 49th Street Person (Voluntary) February/1999 ---- title --- below)
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(Street) -------------------- 5. If Amendment, __________________________________
New York New York 10017 Date of Original 7. Individual or Joint/Group Filing
- --------------------------------------------- (Month/Year) (Check Applicable Line)
(City) (State) (Zip) N/A X Form filed by One Reporting Person
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Form filed by More than One
-- Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock, par value
$0.01 per share 2/3/99 S 4,270,000 D $56 0 N/A
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
*If the form is filed by more than one Reporting Person, see Instruction 4(b)(v).
SEC 1474 (7-96)
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<TABLE>
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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<S> <C> <C> <C> <C> <C> <C> <C>
1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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<C> <C> <C>
9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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Explanation of Responses:
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Kazunari Nagamatsu 2/11/99
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**Signature of Reporting Person Date
Kazunari Nagamatsu, Attorney in fact
(Mr. Nagamatsu is authorized to sign
this Form 4 pursuant to a power of
attorney, dated January 7, 1999, a
copy of which is attached hereto)
Note. File three copies of this Form, one of which must be manually signed. Page 2
If space provided is insufficient, see Instruction 6 for procedure. SEC 1474 (7-96)
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 Number.
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POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that MITSUKOSHI, LTD. (the
"Company"), a Japanese corporation whose principal office is located at 4-1
Muromachi Nihombashi 1-chome, Chuo-ku, Tokyo, Japan, hereby constitutes,
designates and appoints HIKARU YASUHO, General Manager-Finance Department of the
Company, and KAZUNARI NAGAMATSU and YUTAKA TETSUYAMA, the President and Senior
Vice President, respectively, of Mitsukoshi (U.S.A.), Inc., severally, the true
and lawful agents and attorneys-in-fact of the Company (each, an
"Attorney-in-Fact" and, collectively, the "Attorneys-in-Fact"), each with full
power and authority to act hereunder, individually or collectively, in the name
of and for and on behalf of the Company, as fully as could the Company if
present and acting in person, with respect certain matters in connection with
the registration and sale of the shares (the "Shares") of common stock, par
value $.01 per share, of Tiffany & Co. ("Tiffany") owned by the Company pursuant
to a registered public offering (the "Offering"), as follows:
1. To complete, execute and file any and all
documents, forms, schedules, reports, informational
disclosures or otherwise with the Securities and Exchange
Commission as may be required or deemed to be desirable by the
Attorneys-in-Fact or any of them under the Securities Exchange
Act of 1934, as amended (the "Exchange Act"), in connection
with the Offering, including, without limitation, an Amendment
to the Schedule 13D previously filed by the Company and an
appropriate notice or notices of disposition under Section
16(a) of the Exchange Act reflecting the transactions
contemplated hereby; and
2. To take or cause to be taken any and all further
actions, and execute and deliver, or cause to be executed and
delivered, any and all such instruments, documents and stock
powers, in such form as the Attorneys-in-Fact or any of them
may, in their sole discretion, approve (such approval to be
evidenced by their signature thereof) as may be necessary or
deemed to be desirable by the Attorneys-in-Fact or any of them
to effectuate, implement and otherwise carry out the
transactions contemplated by this Power of Attorney or as may
be necessary or deemed to be desirable in connection with the
registration of the Shares pursuant to the Securities Act of
1933, as amended, or the sale of the Shares pursuant to the
Offering.
The Company hereby gives and grants unto said
Attorneys-in-Fact full power and authority to do and perform all and every act
and thing whatsoever requisite and necessary to be done in and about the
premises, as fully, to all intents and purposes as the Company might or could do
if personally present with full power of substitution and revocation, and hereby
ratifies and confirms all that its said Attorneys-in-Fact or any of them shall
lawfully do in the exercise of the power hereinabove granted.
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IN WITNESS WHEREOF, Mitsukoshi, Ltd. has caused this Power of
Attorney to be executed in its name and on its behalf by Keizo Fujimoto, its
Managing Director, he being thereunto duly authorized, on this 7th day of
January, 1999.
MITSUKOSHI LTD.
/s/ Keizo Fujimoto
Keizo Fujimoto
Managing Director
