SEC Form 4 · accession 0000891839-17-000003
EASTMAN KODAK CO · KODK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark S Burgess
Director
Period of report
Jan 1, 2017
Accepted (ET)
Jan 4, 2017 · 5:41 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000031235
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $.01F1 | Jan 1, 2017 | M | 1,305 | $0.00 | A | 13,987 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1 | $0.00 | Jan 1, 2017 | M | 1,305 | D | Jan 1, 2017 | Jan 1, 2017 | Common Stock, par value $.01 | 1,305 | 1,306 | D |
| Restricted Stock UnitsF1 | $0.00 | Jan 1, 2017 | D | 1,306 | D | Jan 1, 2017 | Jan 1, 2017 | Common Stock, par value $.01 | 1,306 | 0 | D |
| Phantom StockF2 | $0.00 | Jan 1, 2017 | A | 1,306 | A | — | — | Common Stock, par value $.01 | 1,306 | 3,914 | D |
| Restricted Stock UnitsF3 | $0.00 | holding | — | — | — | — | — | Common Stock, par value $.01 | 14,327 | 14,327 | D |
Explanation of responses
- F1These restricted stock units convert into common stock on a one-for-one basis. Upon vesting of 2,611 shares on 1/1/2017, Mr. Burgess deferred the receipt of 1,306 shares of common stock and received instead 1,306 shares of phantom stock pursuant to the terms of the Eastman Kodak Company Deferred Compensation Plan for Directors (the "Plan"). As a result, Mr. Burgess is reporting the disposition of 1,306 shares of common stock in exchange for an equal number of shares of phantom stock under the Plan.
- F2Each share of phantom stock represents a right to receive one share of common stock and becomes payable at the election of Mr. Burgess in the year following the year of his separation from service as a director in either a single lump sum payment or in a maximum of ten annual installments.
- F3These restricted stock units, which convert into common stock on a one-for-one basis, were granted under the Company's 2013 Omnibus Incentive Plan and, except as otherwise provided in the award notice, vest on 1/8/2017 (due to an administrative error, previously reported as 1/1/2017), subject to continuous service as a member of the board of directors.