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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | (1) | 11/30/2012 | G(2) | V | 9,181,183 | (1) | (1) | Class A Common Stock | 9,181,183 | (1) | 0 | D (2) (6) | |||
Class B Common Stock | (1) | 11/30/2012 | G(3) | V | 2,163,870 | (1) | (1) | Class A Common Stock | 2,163,870 | (1) | 8,697,522 | D (3) (6) | |||
Class B Common Stock | (1) | 11/30/2012 | G(4) | V | 1,484,819 | (1) | (1) | Class A Common Stock | 1,484,819 | (1) | 10,205,737 | D (4) (6) | |||
Class B Common Stock | (1) | 11/30/2012 | G(5) | V | 1,084,436 | (1) | (1) | Class A Common Stock | 1,084,436 | (1) | 11,095,013 | D (5) (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Ergen Two-Year 2010 DISH GRAT 9601 S. MERIDIAN BLVD. ENGLEWOOD, CO 80112 |
X | Joint Filing Group | ||
Ergen Three-Year 2010 DISH GRAT 9601 S. MERIDIAN BLVD. ENGLEWOOD, CO 80112 |
X | Joint Filing Group | ||
Ergen Four-Year 2010 DISH GRAT 9601 S. MERIDIAN BLVD. ENGLEWOOD, CO 80112 |
X | Joint Filing Group | ||
Ergen Five-Year 2010 DISH GRAT 9601 S. MERIDIAN BLVD. ENGLEWOOD, CO 80112 |
X | Joint Filing Group |
/s/ Mrs. Cantey M. Ergen, Trustee of the Ergen Two-Year 2010 DISH GRAT, by Brandon E. Ehrhart her Attorney in Fact | 12/04/2012 | |
**Signature of Reporting Person | Date | |
/s/ Mrs. Cantey M. Ergen, Trustee of the Ergen Three-Year 2010 DISH GRAT, by Brandon E. Ehrhart her Attorney in Fact | 12/04/2012 | |
**Signature of Reporting Person | Date | |
/s/ Mrs. Cantey M. Ergen, Trustee of the Ergen Four-Year 2010 DISH GRAT, by Brandon E. Ehrhart her Attorney in Fact | 12/04/2012 | |
**Signature of Reporting Person | Date | |
/s/ Mrs. Cantey M. Ergen, Trustee of the Ergen Five-Year 2010 DISH GRAT, by Brandon E. Ehrhart her Attorney in Fact | 12/04/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On November 30, 2010, Charles W. Ergen established four GRATs, contributing 12,500,000 Class B shares to each, resulting in the transfer of a total of 50,000,000 Class B shares. Each GRAT may elect to convert any or all of its Class B shares into an equal number of Class A shares at any time for no additional consideration. |
(2) | Pursuant to the terms of the Ergen Two-Year 2010 DISH GRAT, 3,539,893 shares were distributed as an annuity to Mr. Ergen on November 30, 2012, with with the remaining 5,641,290 shares distributed to trusts for the reporting persons' family members. Following these distributions, the Ergen Two-Year DISH GRAT expired pursuant to its terms. |
(3) | Pursuant to the terms of the Ergen Three-Year 2010 DISH GRAT, 2,163,870 shares were distributed as an annuity to Mr. Ergen on November 30, 2012, with the Ergen Three-Year 2010 DISH GRAT retaining 8,697,522 shares. The Ergen Three-Year 2010 DISH GRAT expires on November 30, 2013. |
(4) | Pursuant to the terms of the Ergen Four-Year 2010 DISH GRAT, 1,484,819 shares were distributed as an annuity to Mr. Ergen on November 30, 2012, with the Ergen Four-Year 2010 DISH GRAT retaining 10,205,737 shares. The Ergen Four-Year 2010 DISH GRAT expires on November 30, 2014. |
(5) | Pursuant to the terms of the Ergen Five-Year 2010 DISH GRAT, 1,084,436 shares were distributed as an annuity to Mr. Ergen on November 30, 2012, with the Ergen Five-Year 2010 DISH GRAT retaining 11,095,013 shares. The Ergen Five-Year 2010 DISH GRAT expires on November 30, 2015. |
(6) | There is no formal agreement to vote or dispose of the shares owned by each GRAT in a particular manner, except that the trust agreement for the GRAT contains an irrevocable provision that provides that the trustee will not dispose of any shares of the Issuer held by the GRAT unless a Change of Control Event (as defined in Item 6 of the GRAT's Schedule 13D/A filed on December 3, 2012) occurs. The dispositive and voting power of the shares held by each of the GRATs is made independent of each other, except to the extent that Mrs. Cantey M. Ergen is the trustee of each of the GRATs and in that respect is able to control the disposition and voting of the shares of Class B Common Stock owned by each such GRAT. |