SEC Form 4 · accession 0001523711-16-000091
MATTEL INC /DE/ · MAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin M Farr
Officer — Chief Financial Officer
Period of report
Apr 22, 2016
Accepted (ET)
Apr 26, 2016 · 4:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000063276
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF1,F2 | — | Apr 22, 2016 | I | 15,615 | A | — | — | Common Stock | 15,615 | 106,109 | D |
Explanation of responses
- F1Distributions from the Reporting Person's phantom stock account will be in the form of shares of Mattel, Inc. common stock equal in value to the value of the phantom stock account.
- F2The phantom stock units will be settled in shares of Mattel, Inc. common stock following the Reporting Person's separation from service with Mattel, Inc.