0001120437-17-000004.txt : 20170109 0001120437-17-000004.hdr.sgml : 20170109 20170109124855 ACCESSION NUMBER: 0001120437-17-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170109 DATE AS OF CHANGE: 20170109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TELEPHONE & DATA SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0001051512 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 362669023 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30 NORTH LASALLE STREET STREET 2: STE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 BUSINESS PHONE: 3126301900 MAIL ADDRESS: STREET 1: 30 NORTH LASALLE STREET STREET 2: STE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON WALTER CD CENTRAL INDEX KEY: 0001230118 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14157 FILM NUMBER: 17516662 MAIL ADDRESS: STREET 1: C/O TDS 30 N LASALLE STREET STREET 2: STE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 5 1 edgar.xml PRIMARY DOCUMENT X0306 5 2016-12-31 0 0 0001051512 TELEPHONE & DATA SYSTEMS INC /DE/ TDS 0001230118 CARLSON WALTER CD 30 N. LASALLE ST., STE. 4000 CHICAGO IL 60602 1 0 0 0 Common Shares 40005 D Common Shares 1956719 I By Voting Trust Series A Common shares Common Shares 1134 1134 D Series A Common Shares Common Shares 2256570 2256570 I By Voting Trust Series A Common shares are convertible, on a share-for-share basis, into common shares. Reporting person is one of four trustees which is record owner of these shares and while files its holdings on forms 4. Of these shares, 126,350 are held for the benefit of children, 7,770 are held by wife, and 687,833 are held by family partnership of which reporting person is a general partner. Includes 26,720 shares that reporting person is trustee of trusts which his children beneficially own the shares in the trusts. Reporting person disclaims beneficial ownership of shares held for benefit of persons other than the reporting person. The remaining shares include 350,000 in GRAT's name and 758,046 in the individual reporting person's name. Reporting person is one of four trustees which is record owner of these shares and while files its holdings on forms 4. Of these shares, 145,859 are held for the benefit of children, 713,032 are held by a family limited partnership, and 749,344 are held by family partnership of which reporting person is a general partner. Includes 28,867 that reporting person is trustee of trusts which his children beneficially own the shares in the trusts. Reporting person disclaims beneficial ownership of the shares held for the benefit of persons other than the reporting person. The remaining shares include 350,000 owned by GRAT and 269,468 shares in the individuals reporting person's name. On 12/29/16, the reporting person's GRAT transferred voting trust certificates representing 87,439 Series A Common shares to reporting person individually. The reporting person previously reported all securities held in his name and through GRATs. Accordingly, the transfer of voting trust certificates did not result in any change in the number of securities reported as beneficially owned by the reporting person. On 12/30/16, the reporting person transferred 350,000 Series A Common shares and 350,000 Common shares from his name individually into a GRAT. The reporting person previously reported all securities held in his name and through GRATs. Accordingly, the transfer of voting trust certificates did not result in any change in the number of securities reported as beneficially owned by the reporting person. Julie D. Mathews, by power of atty 2017-01-09