4 1 file001.txt FORM 4 ------- ----------------------------- FORM 4 OMB APPROVAL ------- ----------------------------- [ ] CHECK THIS BOX IF NO LONGER SUBJECT OMB Number: 3235-0287 TO SECTION 16. FORM 4 OR FORM 5 Expires: January 31, 2005 OBLIGATIONS MAY CONTINUE. See Estimated average burden INSTRUCTION 1(b). hours per response........0.5 ----------------------------- 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) ________________________________________________________________________________ 1. Name and Address of Reporting Person* Kaplan Thomas Scott -------------------------------------------------------------------------------- (Last) (First) (Middle) 154 West 18th Street -------------------------------------------------------------------------------- (Street) New York NY 10011 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol APEX SILVER MINES LIMITED (SIL) ________________________________________________________________________________ 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) ________________________________________________________________________________ 4. Statement for Month/Day/Year December 17, 2002 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Day/Year) ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) |X| Director |_| 10% Owner |_| Officer (give title below) |_| Other (specify title below) ____________________________________________________________________ ________________________________________________________________________________ 7. 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 ________________________________________________________________________________
5. Amount of 6. 4. Securities Owner- 2A. Securities Acquired (A) or Beneficially ship 2. Deemed 3. Disposed of (D) Owned Form: 7. Trans- Execution Transaction (Instr. 3, 4 and 5) Following Direct Nature of action Date, if Code ------------------------------- Reported (D) or Indirect 1. Date any (Instr. 8) (A) Transaction(s) Indirect Beneficial Title of Security (Month/ (Month/ ------------ or (Instr. 3 (I) Ownership (Instr. 3) Day/Year) Day/Year) Code V Amount (D) Price and 4) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Ordinary Shares 12/17/02 A 12,584 A 31,284 (1) D ------------------------------------------------------------------------------------------------------------------------------------ Ordinary Shares 3,126,670 I (2) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
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). POTENTIAL PERSONS WHO ARE TO 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 FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) --------------------------------------------------------------------------------
9. Number 10. of Owner- deriv- ship ative Form 2. Secur- of Conver- 5. 7. ities Deriv- 11. sion Number of Title and Amount Bene- ative Nature or Derivative 6. of Underlying 8. ficially Secur- of Exer- 3A. 4. Securities Date Securities Price Owned ity In- cise Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct Price 3. Execut- action or Disposed Expiration Date ---------------- Deriv- ing (D) or Bene- 1. of Trans- ion Code of(D) (Month/Day/Year) Amount ative Reported In- ficial Title of Deriv- action Date, if (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative ative Date any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security Secur- (Month/ (Month/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Day/Year)Day/Year)Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ Option $14.12 12/17/02 A 100,000 (3) 12/16/12 Ordinary 100,000 100,000 D Shares ------------------------------------------------------------------------------------------------------------------------------------ Option $14.12 12/17/02 A 135,000 (4) 12/16/08 Ordinary 135,000 135,000 D Shares ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Shares are restricted shares granted under the Employees' Share Option Plan. (2) The Shares are held by Argentum LLC and Consolidated Commodities, Ltd., which pursuant to voting trust agreements the Reporting Person has voting and dispositive control with respect to the Shares. (3) Options vest ratably over four years, with the first tranche vesting one year from the date of grant. (4) Options vest at a rate of 5,625 on the 15th and last day of each month from January through December 2003. ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. /s/ Thomas S. Kaplan 12/18/02 --------------------------------------- ----------------------- **Signature of Reporting Person Date Page 2