SEC Form 4 · accession 0001018724-17-000077
AMAZON COM INC · AMZN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey M Blackburn
Officer — Senior Vice President
Period of report
May 15, 2017
Accepted (ET)
May 17, 2017 · 4:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001018724
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $.01 per share | May 15, 2017 | M | 3,689 | $0.00 | A | 50,776 | D | |
| Common Stock, par value $.01 per share | May 15, 2017 | M | 1,036 | $0.00 | A | 51,812 | D | |
| Common Stock, par value $.01 per shareF2 | May 15, 2017 | S | 634 | $957.2303 | D | 51,178 | D | |
| Common Stock, par value $.01 per shareF3 | May 15, 2017 | S | 502 | $958.2665 | D | 50,676 | D | |
| Common Stock, par value $.01 per shareF4 | May 15, 2017 | S | 342 | $959.0422 | D | 50,334 | D | |
| Common Stock, par value $.01 per shareF5 | May 15, 2017 | S | 300 | $960.1533 | D | 50,034 | D | |
| Common Stock, par value $.01 per shareF6 | May 15, 2017 | S | 200 | $961.695 | D | 49,834 | D | |
| Common Stock, par value $.01 per share | May 15, 2017 | S | 100 | $962.51 | D | 49,734 | D | |
| Common Stock, par value $.01 per share | holding | — | — | — | 20,000 | I | In trust | |
| Common Stock, par value $.01 per share | holding | — | — | — | 474 | I | Held by the reporting person's Amazon.com 401(k) plan account |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Unit AwardF7,F8 | $0.00 | May 15, 2017 | M | 3,689 | D | May 15, 2013 | Feb 15, 2018 | Common Stock, par value $.01 per share | 3,689 | 11,064 | D |
| Restricted Stock Unit AwardF7,F9 | $0.00 | May 15, 2017 | M | 1,036 | D | May 15, 2017 | Feb 15, 2022 | Common Stock, par value $.01 per share | 1,036 | 36,326 | D |
Explanation of responses
- F1This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
- F2Represents the weighted average sale price. The highest price at which shares were sold was $957.73 and the lowest price at which shares were sold was $956.79.
- F3Represents the weighted average sale price. The highest price at which shares were sold was $958.78 and the lowest price at which shares were sold was $957.88.
- F4Represents the weighted average sale price. The highest price at which shares were sold was $959.30 and the lowest price at which shares were sold was $958.90.
- F5Represents the weighted average sale price. The highest price at which shares were sold was $960.27 and the lowest price at which shares were sold was $959.95.
- F6Represents the weighted average sale price. The highest price at which shares were sold was $961.93 and the lowest price at which shares were sold was $961.46.
- F7Converts into Common Stock on a one-for-one basis.
- F8This award vests based upon the following vesting schedule and the satisfaction of certain business criteria intended to qualify the award as tax-deductible compensation under Section 162(m) of the Internal Revenue Code: 361 shares on each of May 15, 2013, August 15, 2013, and November 15, 2013; 360 shares on February 15, 2014; 1,428 shares on each of May 15, 2014, August 15, 2014, November 15, 2014, and February 15, 2015; 508 shares on each of May 15, 2015, August 15, 2015, November 15, 2015, and February 15, 2016; 4,788 shares on May 15, 2016; 4,787 shares on each of August 15, 2016, November 15, 2016, and February 15, 2017; 3,689 shares on May 15, 2017; and 3,688 shares on each of August 15, 2017, November 15, 2017, and February 15, 2018.
- F9This award vests based upon the following vesting schedule and the satisfaction of certain business criteria intended to qualify the award as tax-deductible compensation under Section 162(m) of the Internal Revenue Code: 1,036 shares on each of May 15, 2017 and August 15, 2017; 1,037 shares on each of November 15, 2017 and February 15, 2018; 1,667 shares on each of May 15, 2018 and August 15, 2018; 1,668 shares on each of November 15, 2018 and February 15, 2019; 1,692 shares on each of May 15, 2019, August 15, 2019, November 15, 2019, and February 15, 2020; 2,791 shares on each of May 15, 2020, August 15, 2020, and November 15, 2020; 2,792 shares on February 15, 2021; 2,153 shares on each of May 15, 2021, August 15, 2021, and November 15, 2021; and 2,154 shares on February 15, 2022.
Remarks
The reporting person undertakes to provide, upon request by the staff of the SEC, the issuer, or a security holder of the issuer, full information regarding the number of shares transacted at each price, with respect to all transactions reported on this Form 4.