SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BLOM SHAWN CONROY

(Last) (First) (Middle)
621 AIRPARK ROAD

(Street)
NAPA CA 94558

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHALONE WINE GROUP LTD [ CHLN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President and CFO
3. Date of Earliest Transaction (Month/Day/Year)
02/08/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/08/2005 D(1) 1,466 D $0 0.00 I By ESOP
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $9.98 02/08/2005 D 50,000 (2) 06/09/2014 Common Stock 50,000 $0 0.00 D
Stock Option (right to buy) $11.25 02/08/2005 D 15,000 05/17/2001 05/16/2011 Common Stock 15,000 $0 0.00 D
Stock Option (right to buy) $9.88 02/08/2005 D 25,000 02/07/2002 02/05/2012 Common Stock 25,000 $0 0.00 D
Stock Option (right to buy) $8.4 02/08/2005 D 25,000 05/16/2003 05/13/2013 Common Stock 25,000 $0 0.00 D
Explanation of Responses:
1. All outstanding shares beneficially owned by the reporting person, including shares held in any qaulified employee benefit plans, have been exchanged pursuant to the merger agreement between the issuer and Diageo North America, Inc. for $14.25 per share.
2. Options vest 20% on date of grant and 20% on each aniversary date therafter.
Remarks:
Pursuant to merger agreement between issuer and Diageo North America, Inc., stock options cancelled in exchange for cash equal to difference between exercise price and $14.25 per share.
By: Cliff E. Spencer, Attorney in Fact 02/09/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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