4 1 d4.txt FORM 4 - JEFF PETERSON ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0387 Expires: September 30, 1998 Estimated average burden hours per response ...... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 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 [_] Check box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* PETERSON JEFFREY K -------------------------------------------------------------------------------- (Last) (First) (Middle) 1707 Waldemere Street -------------------------------------------------------------------------------- (Street) SARASOTA FL 34239 -------------------------------------------------------------------------------- (City) (State) (Zip) CENTRAL EUROPEAN DISTRIBUTION CORP. (CEDC) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol CEDC -------------------------------------------------------------------------------- 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Year 5/02 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [X] 10% Owner [_] Officer (give title below) [_] Other (specify 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
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5 Beneficially Direct Nature of 2. Code ---------------------------- owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------- Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr. 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------- CEDC Common Stock 5/13/02 S 2,500 D 16.38 D ----------------------------------------------------------------------------------------------------------------------- CEDC Common Stock 5/14/02 S 6,000 D 16.74 D ----------------------------------------------------------------------------------------------------------------------- CEDC Common Stock 5/15/02 S 2,000 D 17.22 D ----------------------------------------------------------------------------------------------------------------------- CEDC Common Stock 5/16/02 S 2,000 D 17.65 D ----------------------------------------------------------------------------------------------------------------------- CEDC Common Stock 5/20/02 S 500 D 18.10 593,740 D ----------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------
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)
5. Number of Derivative Securities Acquired 1. Title of Derivative 2. Conversion of Exercise 3. Transaction Date 4. Transaction (A) or Disposed of (D) Code (Instr. 8) (Instr. 3, 4, and 5) Security (Instr. 3) Price of Derivative Security Month/Day/Year) ------------------------------------------------------------------------------------------------------------------------------------ Code V (A) (D)
Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
Nature of 7. Title and Indirect Amount of 8. Price of 9. Number of 10. Ownership 11. Nature 6. Date Exercisable Underlying Derivative Derivative Securities Form of Derivative of Indirect Beneficial Securities Security Beneficially Owned at Security Beneficial and Expiration Date (Instr. 3 and 4) (Instr. 5) End of Month (Instr. 4) Direct (D) or Indirect (I) Ownership ownership (Instr. 4) (Instr. 4) (Month/Day/ Year) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ (D) Date Expiration Title Amount or Exercisable Date Number of Shares
(Print or Type Responses) (Form 4-07/98) (Over) Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ JEFFREY PETERSON 6/10/02 ----------------------------------------- ----------------- **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 5 for procedure.