SEC Form 5 · accession 0001225208-17-001103
CUMMINS INC · CMI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Norman Thomas Linebarger
Officer — Chairman & CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 13, 2017 · 2:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000026172
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| CommonF1 | Aug 30, 2016 | G | 25,900 | $0.00 | A | 40,750 | D | |
| Common | Aug 30, 2016 | G | 25,900 | $0.00 | D | 240 | I | By Spouse |
| CommonF2 | holding | — | — | — | 7,307 | I | By 401(k) Plan | |
| Common | holding | — | — | — | 6,457 | I | By Child #1 | |
| Common | holding | — | — | — | 6,457 | I | By Child #2 | |
| CommonF3 | holding | — | — | — | 22,430 | I | GRAT #1 | |
| CommonF4 | holding | — | — | — | 42,386 | I | GRAT #2 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right-to-Buy) | $19.42 | holding | — | — | — | Mar 2, 2011 | Mar 2, 2019 | Common | 24,830 | 24,830 | D |
| Stock Option (Right-to-Buy) | $58.115 | holding | — | — | — | Mar 1, 2012 | Mar 1, 2020 | Common | 16,360 | 16,360 | D |
| Stock Option (Right-to-Buy) | $109.09 | holding | — | — | — | Apr 4, 2019 | Apr 4, 2026 | Common | 131,920 | 131,920 | D |
| Stock Option (Right-to-Buy) | $111.84 | holding | — | — | — | Apr 2, 2015 | Apr 2, 2023 | Common | 60,100 | 60,100 | D |
| Stock Option (Right-to-Buy) | $119.77 | holding | — | — | — | May 2, 2013 | May 2, 2021 | Common | 13,040 | 13,040 | D |
| Stock Option (Right-to-Buy) | $120.28 | holding | — | — | — | Apr 2, 2014 | Apr 2, 2022 | Common | 37,510 | 37,510 | D |
| Stock Option (Right-to-Buy) | $136.82 | holding | — | — | — | Apr 2, 2018 | Apr 2, 2025 | Common | 60,780 | 60,780 | D |
| Stock Option (Right-to-Buy) | $149.34 | holding | — | — | — | Apr 2, 2017 | Apr 2, 2024 | Common | 44,890 | 44,890 | D |
Explanation of responses
- F1Shares are held in The Norman Thomas Linebarger Revocable Trust. Reflects an increase for 16,750 shares previously held by the Grantor Retained Annuity Trust #1 that were distributed to the reporting person and a decrease for 42,386 shares previously held directly by the reporting person that have been transferred to the Grantor Retained Annuity Trust #2.
- F2The number of shares is based on the dollar value of the reporting person's interest in the Cummins Stock Fund under the Company's 401(k) plan as most recently provided by the plan. The actual number of shares underlying the interest is not known since the Cummins Stock Fund is a unitized account consisting of approximately 98% common stock and 2% cash or cash equivalents.
- F3Reflects a decrease for 16,750 shares that were distributed to the reporting person.
- F442,386 shares held by the reporting person have been transferred to the Grantor Retained Annuity Trust #2.