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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CENTRAL EUROPEAN DISTRIBUTION CORP [ CEDC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/06/2007 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 12/07/2007 | G | V | 1,922,097(1) | D | $0 | 1,728,622 | D | ||
Common Stock | 12/06/2007 | G | V | 30,000(2) | D | $0 | 172,500 | I | By Spouse | |
Common Stock | 12/06/2007 | G | V | 30,000(2) | A | $0 | 30,000 | I | By Trust | |
Common Stock | 12/07/2007 | G | V | 30,000(3) | D | $0 | 0 | I | By Trust | |
Common Stock | 12/07/2007 | G | V | 1,952,097(4) | A | $0 | 1,952,097 | I | By LLC |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 |
Explanation of Responses: |
1. Mr. Carey gifted 1,922,097 shares from his personal account to WVC 2007 Family LLC (the "LLC"), a limited liability company of which Mr. Carey is the sole manager and one of two members. The other member is The Hanna T. Carey 2007 Family Trust UAD 12/3/07, a trust formed by Mr. Carey's spouse for the benefit of their children (the "Trust"). Mr. Carey owns 98.46% of the LLC and the Trust owns the remaining 1.54% of the LLC. |
2. Mr. Carey's spouse gifted 30,000 of the 202,500 shares directly beneficially owned by her (and reported as indirectly beneficially owned by Mr. Carey in Mr. Carey's previous filings, though Mr. Carey disclaims beneficial ownership of these shares) to the Trust. |
3. After receipt of the 30,000 shares from Mr. Carey's spouse, the Trust subsequently contributed those 30,000 shares to the LLC. |
4. These 1,952,097 shares are the shares Mr. Carey now indirectly beneficially owns via the LLC: the 1,922,097 shares gifted directly to the LLC by Mr. Carey pursuant to Footnote (1), above, plus the 30,000 shares contributed to the LLC by the Trust pursuant to Footnote (3), above. |
/s/ William Carey | 12/07/2007 | |
** 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. |