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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 | ||||||||
Common Stock and attached Common Stock Purchase Rights | $ 15 | 10/07/2004 | M | 124 | 08/08/2003 | 08/08/2010 | Common Stock and attached Common Stock Purchase | 124 | $ 15 | 134,532 | D | ||||
Phantom Stock Units | $ 46.4 | 10/07/2004 | A | 17.5216 | (3) | (3) | Phantom Stock Units | 17.5216 | $ 46.4 | 7,878.2366 (4) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOLBROOK CONNIE C 180 EAST 100 SOUTH SALT LAKE CITY, UT 84111 |
Sr VP, Gen Counsel, Corp Sec |
Connie C. Holbrook | 10/12/2004 | |
**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) | This total reflects a gift of stock for 123 shares mde on September 30, 2004. |
(2) | As of October 4, 2004, I have 30,140.7712 equivalent shares of stock in my account in Questar's Employee Investment Plan. |
(3) | Phantom stock units will be converted to cash beginning at retirement; my retirement date is unknown. |
(4) | I receive phantom stock units as a result of my participation in an excess benefit plan. This total includes 3,114.3287 units in such plan in addition to units held through my account balance in a deferred compensation plan. This total also reflects a September 22nd allocation to such excess benefit plan. |