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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Appreciation Right | $ 45.79 (7) | 01/20/2016 | M(8) | 67,152 | (9) | 05/18/2007 | Class B Common Stock | 67,152 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COORS PETER H 1801 CALIFORNIA STREET, SUITE 4600 DENVER, CT 80202 |
Vice Chairman of the Board |
Kathleen M. Kirchner, by Power of Attorney | 01/22/2016 | |
**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) | Reflects the transfer of 3,000 Class B common stock from the reporting person to a charitable organization. |
(2) | Reflects the following Class B common stock transfers to the reporting person directly on December 11, 2015: (i) 18,614 shares from Marilyn E. and Peter H. Coors, Co-Trustees of the Peter H. Coors 2012 Grantor Retained Annuity Trust XII; and (ii) 29,883 shares from Marilyn E. and Peter H. Coors, Co-Trustees of the Peter H. Coors 2014 Grantor Retained Annuity Trust XIX. |
(3) | The reporting person's stock appreciation rights (SOSARs) exercise reported in this Form 4 was effected pursuant to Rule 10b5-1 Trading Plan previously adopted by the reporting person in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934. |
(4) | Represents (a) a deemed sale of 35,643 shares of Class B common stock to the issuer to cover the exercise price of the stock only stock appreciation rights (SOSARS) and (b) 13,025 shares of Class B common stock withheld in lieu of cash payment for applicable taxes in connection with the exercise of the SOSARS. |
(5) | Reflects the transfer of 18,614 shares of Class B common stock on December 11, 2015 from Marilyn E. and Peter H. Coors, Co-Trustees of the Peter H. Coors 2012 Grantor Retained Annuity Trust XII to the reporting person. |
(6) | Reflects the transfer of 29,883 Class B common stock on December 11, 2015 from Marilyn E. and Peter H. Coors, Co-Trustees of the Peter H. Coors 2014 Grantor Retained Annuity Trust XIX to the reporting person. |
(7) | As adjusted to give effect to the 2-for-1 stock split that occurred on October 3, 2007. |
(8) | The exercise of the SOSARs results in the expiration of the tandem employee stock options. |
(9) | The SOSARS vested in full on the third anniversary of the grant date. |