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) 12/21/2010 | ||||||||||||||||||||||||||
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 | 12/21/2010 | J(1) | V | 159,697 | D | $0 | 0 | I | By the William V. Carey 2008 GRAT | |
Common Stock | 12/21/2010 | J(1) | V | 284,525 | D | $0 | 0 | I | By The William V. Carey 2008 GRAT (A) | |
Common Stock | 12/21/2010 | J(1) | V | 284,525 | D | $0 | 0 | I | By The William V. Carey 2008 GRAT (B) | |
Common Stock | 12/21/2010 | J(2) | V | 277,238 | D | $0 | 546,112 | I | By WVC 2007 Family LLC | |
Common Stock | 12/23/2010 | J(3) | V | 1,005,985 | D | $0 | 2,244,749 | D(4) | ||
Common Stock | 152,500 | I | By Spouse |
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. On December 21, 2010, (i) The William V. Carey 2008 GRAT, of which Mr. Carey is the Trustee, transferred 159,697 shares of Common Stock to The William V. Carey Revocable Trust and (ii) The William V. Carey 2008 GRAT (A), of which Mr. Carey is the Trustee, and The William V. Carey 2008 GRAT (B), of which Mr. Carey is the Trustee, each transferred 284,525 shares of Common Stock to The William V. Carey Revocable Trust. |
2. In addition, on December 21, 2010, (i) WVC 2007 Family LLC, a limited liability company of which Mr. Carey is the sole manager, transferred 138,619 shares of Common Stock to each of The William V. Carey 2009 GRAT (A), of which Mr. Carey is the Trustee, and The William V. Carey 2009 GRAT (B), of which Mr. Carey is the Trustee, and (ii) The William V. Carey 2009 GRAT (A) and The William V. Carey 2009 GRAT (B) in turn each transferred all such shares of Common Stock to The William V. Carey Revocable Trust. |
3. On December 23, 2010, the William V. Carey Revocable Trust transferred all of the shares of Common Stock received by it as described in footnote 2 above as follows: 502,993 shares of Common Stock to The William V. Carey 2010 GRAT (A), of which Mr. Carey is the Trustee, and 502,992 shares of Common Stock to The William V. Carey 2010 GRAT (B), of which Mr. Carey is the Trustee. |
4. These shares are held by Mr. Carey as Trustee of the William V. Carey Revocable Trust. |
/s/ William V. Carey | 12/23/2010 | |
** 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. |