Form 4

FORM 4

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer
subject to Section 16. Form 4 or
Form 5 obligations may continue.
See Instruction 1(b).

   

 

(Print or Type Responses)

1. Name and Address of Reporting Person*          





Kaplan         Helene          L.

2. Issuer Name and Tickler or Trading Symbol





Exxon Mobil Corporation - XOM

6. Relationship of Reporting Person(s) to Issuer
                  (Check all applicable)

X

Director

 

10% Owner
 

Officer (give
title below)

 

Other (specify
below)

 

(Last)                    (First)                (Middle)


Skadden, Arps, Slate, Meagher & Flom LLP
Four Times Square - 44th Floor

3. I.R.S. Identification Number of
   Reporting Person, if an entity
   (voluntary)

 

4. Statement for Month/Day/Year

March 31, 2003



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

5. If Amendment, Date of
   Original (Month/Day/Year)

 

X

Form filed by One Reporting Person

(Street)

New York,        NY       10036-6522

 

Form filed by More than One Reporting Person

(City)                      (State)                  (Zip)

Table I ¾  Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
   (Instr. 3)

2. Trans-
    action
    Date

  (Month/
   Day/
   Year)

2A.
Deemed
Execution
Date, if
any
  (Month/
   Day/
   Year)

3. Trans-
    action
    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. Owner-
    ship
    Form:
    Direct
    (D) or
    Indirect
    (I)

 (Instr. 4)

7. Nature of
    Indirect
    Beneficial
    Owner-
    ship



   (Instr. 4)

Code

V

Amount

(A)
or
(D)

Price

Common Stock

 

 

    

 

  

 

16,700

D

 

Common Stock

 

 

    

 

  

 

25,722

I

By Trust
 

 

 

    

 

  

 

      
 

 

 

    

 

  

 

      

 

 

 

    

 

  

 

 

  

 

 

 

 

    

 

  

 

 

  

 

 

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).

 

                                                                                                                 

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.

     

(Over)
SEC 1474 (9-02)

 

 

FORM 4 (continued)

Table II ¾  Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
    Security
    (Instr. 3)

2. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
   Security

3. Trans-
    action
    Date

(Month/
Day/
Year)

3A.
Deemed
Execution
Date, if
any

  (Month/
   Day/
   Year)

4. Trans-
    action
    Code
    (Instr.8)

5. Number of Deriv-
    ative Securities Ac-
    quired (A) or Dis-
    posed of (D)
    (Instr. 3, 4 and 5)

6. Date Exer-
    cisable and
    Expiration
    Date
    (Month/Day/
    Year)

7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)

8. Price
    of
    Deriv-
    ative
    Secur-
    ity
    (Instr.
    5)

9. Number
   of deriv-
   ative
   Secur-
   ities
   Bene-
   ficially
   Owned
   Follow-
   ing
   Reported
   Trans-
   action(s)
   (Instr. 4)

10. Owner-
     ship
     Form of
     Deri-
     vative
     Security:
     Direct
     (D) or
     Indirect
     (I)
     (Instr. 4)

11. Nature
     of
     Indirect
     Benefi-
     cial
     Owner-
     ship
     (Instr. 4)

Code

V

(A)

(D)

Date
Exer-
cisable

Expira-
tion
Date

Title

Amount or
Number of
Shares

Notional Stock Units with Dividend Equivalents (1)

1 for 1

            

(1)

(1)

Common Stock

    

21,666.1839

D

  

Notional Stock Units with Dividend Equivalents (2)

1 for 1

03/31/2003

 

A

  

737.956

 

(2)

(2)

Common Stock

737.956

$35.910

5,084.1120

D

  
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 
   

 

 

    

 

 

              

 

 

 

 

 

    

 

 

 

 

 

 

 

    

 

 

 

 

 

    

 

 

 

 

 

 

 

    

 

Explanation of Responses:

(1) To be settled in cash in annual installments that commenced in 2000.
(2) To be settled in cash in annual installments following retirement.
This form signed pursuant to the terms of the Power of Attorney executed on 08/26/2002 and filed with the SEC on 09/09/2002.

 

 

/s/ C. E. Whittemore

          

04/01/2003

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations.

**Attorney-in-Fact

          

Date
 

See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

             C. E. Whittemore         

          

                                

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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required to respond unless the form displays a currently valid OMB Number.

 

     

 

 

 

     

 

 

 

     

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