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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 | ||||||||
Option (Right to Buy) (5) | $ 5.75 | 07/13/2001 | 07/12/2010 | Common Stock | 638,366 | 638,366 | D | ||||||||
LSAR (5) | $ 5.75 | (5) | (5) | Common Stock | 638,366 | 638,366 | D | ||||||||
Option (Right to Buy) (5) | $ 14.34 | 02/27/2001 | 02/26/2011 | Common Stock | 12,363 | 12,363 | D | ||||||||
LSAR (5) | $ 14.34 | (5) | (5) | Common Stock | 12,363 | 12,363 | D | ||||||||
Option (Right to Buy) (5) | $ 13.42 | 02/06/2002 | 02/05/2012 | Common Stock | 13,207 | 13,207 | D | ||||||||
LSAR (5) | $ 13.42 | (5) | (5) | Common Stock | 13,207 | 13,207 | D | ||||||||
Option (Right to Buy) (5) | $ 12.55 | 01/16/2003 | 01/15/2013 | Common Stock | 15,901 | 15,901 | D | ||||||||
LSAR (5) | $ 12.55 | (5) | (5) | Common Stock | 15,901 | 15,901 | D | ||||||||
Option (Right to Buy) (5) | $ 12.55 | 01/16/2008 | 01/15/2013 | Common Stock | 90,000 | 90,000 | D | ||||||||
LSAR (5) | $ 12.55 | (5) | (5) | Common Stock | 90,000 | 90,000 | D | ||||||||
Option (Right to Buy) (5) | $ 14.6 | 01/02/2005 | 01/01/2014 | Common Stock | 90,000 | 90,000 | D | ||||||||
LSAR (5) | $ 14.6 | (5) | (5) | Common Stock | 90,000 | 90,000 | D | ||||||||
Option (Right to Buy) (5) | $ 14.53 | 02/09/2004 | 02/08/2014 | Common Stock | 13,689 | 13,689 | D | ||||||||
LSAR (5) | $ 14.53 | (5) | (5) | Common Stock | 13,689 | 13,689 | D | ||||||||
Variable pre-paid forward contract (put equivalent position) | (6) (7) (8) | (6)(7)(8) | (6)(7)(8) | Common Stock | 350,000 | 350,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HAVERTY MICHAEL R KANSAS CITY SOUTHERN PO BOX 219335 KANSAS CITY, MO 64121-9335 |
X | Chairman & CEO |
Brian P. Banks, Attorney-in-fact | 03/27/2009 | |
**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 August 17, 2007, Mr. Haverty's wife, Mrs. Haverty, established and contributed Kansas City Southern common stock to a grantor retained annuity trust (the "2007 GRAT"). Mr. Haverty does not have a reporting duty for the shares held in the 2007 GRAT under Section 16(a) of the Securities Exchange Act of 1934 because Mrs. Haverty is not the trustee and does not have investment control over the shares. On March 26, 2009, 66,979 shares were distributed from the 2007 GRAT to Mrs. Haverty as an annuity payment. |
(2) | Includes 70,941 performance shares that have been earned by the reporting person under KCS' 2007-2009 long-term incentive plan with respect to the 2007 and 2008 performance periods. These performance shares will not vest until January 17, 2010. With respect to these shares, the reporting person does not have the right to vote, receive, or be entitled to receive, cash or non-cash dividends or any other beneficial rights as a shareholder of the Company. |
(3) | A total of 11,032.515 shares have accrued to the reporting person's account under the Company's 401(k) and Profit Sharing Plan. |
(4) | A total of 29,746.07 shares are held in the reporting person's account under the KCS Employee Stock Ownership Plan. |
(5) | LSARs are granted in tandem with stock options. LSARs become exercisable only following a change-in-control of the Company in lieu of related options and are exercisable only for cash. LSARs terminate when the related options are exercised or terminated. |
(6) | On November 16, 2006, the reporting person entered into Prepaid Variable Forward Purchase Agreements ("Agreements") with UBS Securities LLC ("Buyer") . The Agreements obligate the reporting person to deliver to Buyer up to 350,000 Common Shares in the aggregate (or an equivalent amount of cash, if elected by him) on the Maturity Date of the Agreements (i.e., in December, 2009, or an earlier date if the parties agree to terminate the Agreement early). In exchange for assuming this obligation, the reporting person received a cash payment equal to approximately $7.9 million as of the date of entering into the Agreements (the actual amount to be determined upon completion of certain hedging transactions by Buyer). The reporting person pledged 350,000 Common Shares (the "Pledged Shares") to secure his obligations under the Agreements, and retained voting rights in the Pledged Shares during the period of the pledge. (Continued in footnote 7.) |
(7) | The number of Common Shares to be delivered to Buyer on the Maturity Date, if the reporting person does not elect a cash settlement, is to be determined as follows, on the basis of prices of the Common Shares that are subject to adjustment for events specified in the Agreements: * If the price per share of the Common Shares on the Maturity Date is less than or equal to the volume weighted average price at which Buyer completes its hedge execution (the "Initial Price"), the reporting person will deliver to the Buyer the entire amount of Pledged Shares; * If the price per share of the Common Shares on the Maturity Date is between 100% of the Initial Price (the "Lower Limit") and 140% of the Initial Price (the "Upper Limit"), the reporting person will deliver to the Buyer a number of shares determined by multiplying the number of the Pledged Shares by the Lower Limit, and dividing the resulting number by the price of the Common Shares on the Maturity Date; or (Continued in footnote 8.) |
(8) | * If the price per share of the Common Shares on the Maturity Date is greater than the Upper Limit, the reporting person will deliver to the Buyer a number of shares determined by reference to a formula specified in the Agreements that would result in the reporting person being obligated to deliver fewer than the number of Pledged Shares. |