SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
ULLMAN MYRON III

(Last) (First) (Middle)
C/O POLO RALPH LAUREN CORPORATION
650 MADISON AVENUE

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/03/2004
3. Issuer Name and Ticker or Trading Symbol
POLO RALPH LAUREN CORP [ RL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 2,200 D
Class A Common Stock 1,800 I See Footnote (1)(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Held indirectly in a personal retirement account.
/s/ Edward W. Scheuermann, Attorney-in-Fact for Myron E. Ullman, III 02/05/2004
** 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 5 (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.
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                                POWER OF ATTORNEY


KNOW EVERYONE BY THESE PRESENTS, that I, Myron E. Ullman, III, hereby make,
constitute and appoint Mr. Edward W. Scheuermann, with full power of
substitution, my true and lawful agent and attorney-in-fact and confer upon such
agent and attorney-in-fact the power and authority, in my name, place and stead,
in any way which I could do if personally present:

(1)      to execute for and on my behalf, in my capacity as a director and/or
         stockholder of Polo Ralph Lauren Corporation (the "Company"), any and
         all forms and filings required pursuant to Section 16(a) of the
         Securities Exchange Act of 1934, as amended, and the rules thereunder,
         including, without limitation, Forms 3, 4 and 5;

(2)      to do and perform any and all acts for and on my behalf (in any of the
         capacities described in paragraph (1) above)) which may be necessary or
         desirable to complete and execute any such forms or filings and timely
         file such forms or filings with the United States Securities and
         Exchange Commission and any stock exchange or similar authority; and

(3)      to execute and deliver on my behalf (in any of the capacities described
         in paragraph (1) above) any other forms, filings, consents,
         authorizations, certificates, instruments or other documents necessary
         or desirable to authorize, approve, effect, facilitate or consummate
         any of the transactions described above.

IN WITNESS WHEREOF, I have hereunto set my hand on this 3rd day of February,
2004.


                                        /s/ Myron E. Ullman, III
                                        ---------------------------------------
                                        Myron E. Ullman, III