SEC Form 5 · accession 0001140361-17-005912
T-Mobile US, Inc. · TMUS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Srikant Datar
Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 10, 2017 · 7:00 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001283699
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jun 13, 2016 | G | 13,424 | $0.00 | D | 4,311 | D | |
| Common StockF1 | Jun 13, 2016 | G | 13,424 | $0.00 | A | 13,424 | I | By Safari LLC |
| Common StockF2 | Dec 31, 2016 | G | 13,424 | $0.00 | D | 13,424 | I | By Safari LLC |
| Common Stock | holding | — | — | — | 8,000 | I | By Datar Investment LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person and his spouse, who owned these shares jointly, contributed them to a limited liability company ("Safari LLC") owned and managed by the reporting person and his spouse.
- F2The reporting person and his spouse gifted all of the interests in Safari LLC to trusts for the benefit of their adult children. The reporting person and his spouse continue to serve as managers of Safari LLC. The reporting person disclaims beneficial ownership of the shares of T-Mobile US, Inc. common stock held by Safari LLC except to the extent of his pecuniary interest therein, if any.