FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
AMKOR TECHNOLOGY, INC. [ AMKR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2015 | ||||||||||||||||||||||||||
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 05/12/2015 | G(1) | 3,497,613 | D | $6.92 | 47,875,525(6) | D | ||||||||
Common Stock | 05/12/2015 | G(2) | 3,497,613 | A | $6.92 | 47,875,525(6) | I | By self as trustee | |||||||
Common Stock | 09/21/2015 | J(3) | 888,647 | D | $4.86 | 47,875,525(6) | I | By self as trustee | |||||||
Common Stock | 10/28/2015 | J(4) | 1,883,340 | D | $6.36 | 47,875,525(6) | I | By self as trustee | |||||||
Common Stock | 10/28/2015 | J(4) | 1,883,340 | A | $6.36 | 47,875,525(6) | D | ||||||||
Common Stock | 11/06/2015 | J(5) | 48,535 | D | $6.59 | 47,875,525(6) | I | By self as trustee | |||||||
Common Stock | 11/06/2015 | J(5) | 48,535 | A | $6.59 | 47,875,525(6) | D |
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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. On May 12, 2015, Susan Y. Kim gifted 3,497,613 shares to the Susan Y. Kim 2015 Irrevocable Trust U/A dated March 16, 2015. Susan Y. Kim and John T. Kim are co-trustees. |
2. On May 12, 2015, Susan Y. Kim gifted 3,497,613 shares to the Susan Y. Kim 2015 Irrevocable Trust U/A dated March 16, 2015. Susan Y. Kim and John T. Kim are co-trustees. |
3. On September 21, 2015, the James J. Kim 2013 Qualified Annuity Trust U/A Dated 5/17/13 distributed 888,647 to James J. Kim. Susan Y. Kim and James J. Kim are co-trustees. |
4. On October 28, 2015, Susan Y. Kim 2012 Irrevocable Trust Dated July 26, 2012 distributed 1,883,340 shares to Susan Y. Kim. Susan Y. Kim and John T. Kim are co-trustees. |
5. On November 6, 2015, Susan Y. Kim 2012 Irrevocable Trust Dated July 26, 2012 distributed 48,535 shares to Susan Y. Kim. Susan Y. Kim and John T. Kim are co-trustees. |
6. The Reporting Person may be deemed to own 47,875,525 shares. Susan owns 1,939,669 shares directly and 5,000 options exercisable within 60 days of December 31, 2015. All remaining shares are indirectly owned through various family trusts and Sujoda Investments, L.P., a limited partnership established for the benefit of members of the James J. Kim family. This total includes those shares indirectly owned that are listed above. The Reporting Person disclaims beneficial ownership of these securities except to the extent of her pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities, except to the extent of her pecuniary interest therein, for purposes of the Securities Exchange Act of 1934, as amended, or for any other purpose. |
Remarks: |
/s/ Jerry Allison, as Attorney in Fact | 02/15/2016 | |
** 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. |