SEC Form 5 · accession 0001127602-15-001746
ALLERGAN INC · AGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas S Ingram
Officer — President
Period of report
Dec 31, 2014
Accepted (ET)
Jan 13, 2015 · 7:44 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000850693
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 4, 2014 | G | 1,044 | $0.00 | D | 0 | D | |
| Common StockF2 | Apr 4, 2014 | G | 1,044 | $0.00 | A | 23,816 | I | By Family Trust |
| Common StockF3 | holding | — | — | — | 2,676 | I | By 401(k) Trust | |
| Common StockF4 | holding | — | — | — | 3,616 | I | By Esop Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F5 | $125.07 | Mar 20, 2014 | G | 70,431 | D | — | Feb 21, 2024 | Common Stock | 70,431 | 0 | D |
| Employee Stock Option (Right to Buy)F6 | $125.07 | Mar 20, 2014 | G | 70,431 | A | — | Feb 21, 2024 | Common Stock | 70,431 | 70,431 | I |
Explanation of responses
- F1Includes shares acquired under the Allergan, Inc. Dividend Reinvestment Plan.
- F2Shares held by the Ingram Family Trust established September 16, 2003, of which the Reporting person and his spouse are each trustees.
- F3Shares allocated to reporting person's SIP account as of reporting date.
- F4Shares allocated to the reporting person's ESOP account as of reporting date.
- F5The option becomes exercisable in four equal annual installments beginning February 21, 2015.
- F6The option becomes exercisable in four equal installments beginning February 21, 2015.