5 1 rob59.txt ROBIN J. CAMPBELL KNEPPER ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0362 Expires: January 31, 2005 Estimated average burden hours per response ... 1.0 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL 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(h) of the Investment Company Act of 1940 [ X ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). [ X ] Form 3 Holdings Reported [ X ] Form 4 Transactions Reported =============================================================================== 1. Name and Address of Reporting Person* Knepper, Robin J. Campbell ------------------------------------------------------------------------------- (Last) (First) (Middle) 1634 Lake Washington Blvd. ------------------------------------------------------------------------------- (Street) Seattle, WA 98122 ------------------------------------------------------------------------------- (City) (State) (Zip) =============================================================================== 2. Issuer Name and Ticker or Trading Symbol Fisher Communications, Inc. =============================================================================== 3. IRS Identification Number of Reporting Person, if Entity (Voluntary) 91-0222175 =============================================================================== 4. Statement for Month/Day/Year 12/31/02 =============================================================================== 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 below) ------------------------------ * Resigned as Director 10/22/02 =============================================================================== 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 ================================================================================ ===========================
1. 2. 2A. 3. 4. SECURITIES ACQUIRED (A) OR DISPOSED OF (D) TRANSACTION DEEMED TRANSACTION (INSTR. 3, 4 AND 5) DATE EXECUTION CODE --------------------- -- TITLE OF DATE (IF ANY) (INSTR. 8) (A) SECURITY (MONTH/DAY/ (MONTH/DAY/ ------------ OR (INSTR. 3) YEAR) YEAR) CODE V AMOUNT (D) PRICE -------------------------------------------------------------------------------- ---- Common Stock 3 436,731 -------------------------------------------------------------------------------- ---- Common Stock 07/10/02 W (1) 20,000 D $-0- -------------------------------------------------------------------------------- ---- Common Stock 10/16/02 S-4 10,000 (2) D $48.18 -------------------------------------------------------------------------------- ---- Common Stock 10/23/02 S-4 5,000 (2) D $47.15 -------------------------------------------------------------------------------- ---- Common Stock 10/24/02 S-4 5,000 (2) D $47.24 -------------------------------------------------------------------------------- ---- Common Stock 11/22/02 S-4 8,000 (2) D $50.0594 -------------------------------------------------------------------------------- ---- Common Stock 11/26/02 S-4 2,000 (2) D $50.25 ================================================================================ ==== 5. 6. 7. AMOUNT OF OWNERSHIP SECURITIES FORM: BENEFICIALLY DIRECT NATURE OF OWNED FOLLOW- (D) OR INDIRECT ING REPORTED INDIRECT BENEFICIAL TRANSACTION(S) (I) OWNERSHIP (INSTR. 3&4) (INSTR.4) (INSTR. 4) -------------------------------------------------------------------------------- -------- 431,731 I By self sharing investment power for shares for shares owned by O.D. Fisher Investment Co. -------------------------------------------------------------------------------- -------- 193,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman -------------------------------------------------------------------------------- -------- 183,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman -------------------------------------------------------------------------------- -------- 178,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman -------------------------------------------------------------------------------- -------- 173,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman -------------------------------------------------------------------------------- -------- 165,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman -------------------------------------------------------------------------------- -------- 163,560 I By self as Co- Trustee for Trust B under Will of Peggy Locke Newman ================================================================================ ======== * If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
================================================================================ ========================================== Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================ ========================================== 9. 10. Number Owner- of ship 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature of Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Exer- Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) cisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ------ ---------- Deriv- Owned (D) or Bene- 1. of action Code of (D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------- ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) -------------------------------------------------------------------------------- ------------------------------------------------- -------------------------------------------------------------------------------- ------------------------------------------------- -------------------------------------------------------------------------------- ------------------------------------------------- ================================================================================ =================================================
Explanation of Responses to Table I: (1) Direct distribution of shares to trust beneficiary other than Reporting Person. (2) Sold at the direction of Safeco Trust Co. as Co-Trustee of the referenced Trust B, without the knowledge of the Reporting Person. Date: February 14, 2003 /s/ Robin J. Campbell Knepper ------------------------------------------- Signature Robin J. Campbell Knepper, Reporting Person ------------------------------------------- Name/Title ** 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 provided is insufficient, see Instruction 6 for procedures. Alternatively, this Form is permitted to be submitted to the Commission in electronic format at the option of the reporting person pursuant to rule 101(b)(4) of Regulation S-T.