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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 Option | $ 4.75 | 01/01/2002(1) | 12/31/2010 | Common Stock | 149,600 | 149,600 | D | ||||||||
Stock Option | $ 5.14 | 10/14/2007 | 12/31/2011 | Common Stock | 100,000 | 100,000 | D | ||||||||
Stock Option | $ 7.885 | 01/01/2004(1) | 12/31/2012 | Common Stock | 280,400 | 280,400 | D | ||||||||
Stock Option | $ 10.365 | 01/01/2003(1) | 12/31/2011 | Common Stock | 149,600 | 149,600 | D | ||||||||
Stock Option | $ 21.7812 | 01/01/2005 | 12/31/2009 | Common Stock | 40,000 | 40,000 | D | ||||||||
Stock Option | $ 36.7032 | 01/01/1999(2) | 12/31/2005 | Common Stock | 35,658 | 35,658 | D | ||||||||
Stock Option | $ 46.875 | 01/01/1999(1) | 12/31/2008 | Common Stock | 15,282 | 15,282 | D | ||||||||
Stock Option | $ 47.5 | 03/01/2003 | 12/31/2009 | Common Stock | 5,625 | 5,625 | D | ||||||||
Stock Option | $ 59.4375 | 01/01/2000(1) | 12/31/2006 | Common Stock | 630 | 630 | D | ||||||||
Stock Option | $ 13.685 | 01/01/2005(1) | 12/31/2011 | Common Stock | 138,000 | 138,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BURNS URSULA M 800 LONG RIDGE ROAD P. O. 1600 STAMFORD 06904 |
Senior Vice President |
K. W. Fizer, Attorney-In-Fact | 04/28/2005 | |
**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) | Options vest over three years, 33.3% per year beginning in year shown. |
(2) | Options vest over three years, 33%, 33%, 34%, beginning in year shown. |
(3) | Not Applicable |
(4) | Units purchased in and loan repayments to Xerox Stock Fund under Xerox Savings Plan. Amount does not represent shares of stock, but dollars invested divided by unit value. |
(5) | Vesting of incentive stock rights. |
(6) | This sale of shares was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 8, 2005 and disclosed under Item 8.01 of the Form 8-K filed with the Securities and Exchange Commission on November 5, 2004. |