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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
DELLAQUILA TINA

(Last) (First) (Middle)
36 GLENFOREST ROAD

(Street)
TORANTO A5 MAN 1Z8

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
COTT CORP /CN/ [ COT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Controller & Asst. Secr.
3. Date of Earliest Transaction (Month/Day/Year)
10/22/2003
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 Shares 10/22/2003 M 250 A $10.74(1) 9,042.905 D
Common Shares 10/22/2003 M 1,400 A $4.56(2) 10,442.905 D
Common Shares 10/22/2003 M 3,850 A $6.25(3) 14,292.905 D
Common Shares 10/22/2003 M 9,000 A $13.23(4) 23,292.905 D
Common Shares 10/22/2003 M 3,250 A $24.37(5) 26,542.905 D
Common Shares 10/22/2003 S 2,900 D $25.81(6) 23,642.905 D
Common Shares 10/22/2003 S 3,000 D $25.47(7) 20,642.905 D
Common Shares 10/22/2003 S 1,300 D $25.36(8) 19,342.905 D
Common Shares 10/22/2003 S 800 D $25.39(9) 18,542.905 D
Common Shares 10/22/2003 S 9,750 D $25.31(10) 8,792.905(11) D
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 Options $10.74(12) 10/22/2003 M 250 10/03/2002 10/03/2007 Common Shares 250 $0 0 D
Stock Options $4.56(13) 10/22/2003 M 1,400 05/06/2002 05/06/2006 Common Shares 1,400 $0 0 D
Stock Options $6.25(14) 10/22/2003 M 3,850 07/27/2003 07/27/2007 Common Shares 3,850 $0 0 D
Stock Options $13.23(15) 10/22/2003 M 9,000 07/18/2003 07/18/2008 Common Shares 9,000 $0 6,000 D
Stock Options $24.37(16) 10/22/2003 M 3,250 05/01/2003 05/01/2009 Common Shares 3,250 $0 14,250 D
Explanation of Responses:
1. The U.S. dollar price represents the conversion of (Cdn)$14.00 to U.S. dollars on the transaction date.
2. The U.S. dollar price represents the conversion of (Cdn)$5.95 to U.S. dollars on the transaction date.
3. The U.S. dollar price represents the conversion of (Cdn)$8.15 to U.S. dollars on the transaction date.
4. The U.S. dollar price represents the conversion of (Cdn)$17.25 to U.S. dollars on the transaction date.
5. The U.S. dollar price represents the conversion of (Cdn)$31.77 to U.S. dollars on the transaction date.
6. The U.S. dollar price represents the conversion of (Cdn)$33.65 to U.S. dollars on the transaction date.
7. The U.S. dollar price represents the conversion of (Cdn)$33.21 to U.S. dollars on the transaction date.
8. The U.S. dollar price represents the conversion of (Cdn)$33.07 to U.S. dollars on the transaction date.
9. The U.S. dollar price represents the conversion of (Cdn)$33.10 to U.S. dollars on the transaction date.
10. The U.S. dollar price represents the conversion of (Cdn)$33.00 to U.S. dollars on the transaction date.
11. Includes 6,419.845 vested Shares held in trust pursuant to the Corporation's Executive Incentive Share Compensation Plan (the "Plan") that vested on or before 01/02/03; and 2,373.06 vested Shares held in trust under the Canadian Employee Share Purchase Plan (as at 12/31/02). The reporting individual also holds indirectly 5,652.217 unvested Shares held in trust that were acquired pursuant to the Plan in 2001, 2002 and 2003; and 521.538 unvested Shares held in trust under the Canadian Employee Share Purchase Plan (as at 12/31/02).
12. The exercise price is (Cdn)$14.00 under the terms of the option plan pursuant to which Mrs. Dell'Aquila received the Stock Options. The price represents the conversion of (Cdn)$14.00 to U.S. dollars on the date of the exercise.
13. The exercise price is (Cdn)$5.95 under the terms of the option plan pursuant to which Mrs. Dell'Aquila received the Stock Options. The price represents the conversion of (Cdn)$5.95 to U.S. dollars on the date of the exercise.
14. The exercise price is (Cdn)$8.15 under the terms of the option plan pursuant to which Mrs. Dell'Aquila received the Stock Options. The price represents the conversion of (Cdn)$8.15 to U.S. dollars on the date of the exercise.
15. The exercise price is (Cdn)$17.25 under the terms of the option plan pursuant to which Mrs. Dell'Aquila received the Stock Options. The price represents the conversion of (Cdn)$17.25 to U.S. dollars on the date of the exercise.
16. The exercise price is (Cdn)$31.77 under the terms of the option plan pursuant to which Mrs. Dell'Aquila received the Stock Options. The price represents the conversion of (Cdn)$31.77 to U.S. dollars on the date of the exercise.
Andrea Szanto, by power of attorney 10/24/2003
** 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.
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 Number.