0001120437-21-000010.txt : 20210106 0001120437-21-000010.hdr.sgml : 20210106 20210106151444 ACCESSION NUMBER: 0001120437-21-000010 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carlson Prudence E CENTRAL INDEX KEY: 0001435492 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14157 FILM NUMBER: 21510203 MAIL ADDRESS: STREET 1: 30 N LASALLE STREET SUITE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 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 5 1 wf-form5_160996406892737.xml FORM 5 X0306 5 2020-12-31 0 0 0 0001051512 TELEPHONE & DATA SYSTEMS INC /DE/ TDS 0001435492 Carlson Prudence E 30 N. LASALLE ST. STE. 4000 CHICAGO IL 60602 1 0 0 0 Common Shares 63313 D Common Shares 2020-08-03 5 G 0 992 0 D 1730834 I By Voting Trust Series A Common Shares Common Shares 1883949.0 1883949 I By Voting Trust Series A Common Shares Common Shares 198896.0 198896 D Reporting person is one of four trustees of a voting trust which is record owner of these common shares and which files its holdings on a Form 4. Of these shares, 42,259 common shares held for the benefit of spouse and children. Includes 554,495 in reporting person's name, 423,111 are held by a Trust, and 20,629 in reporting person's Grantor Retained Annuity Trust (GRAT) both held for the benefit of the reporting person and 690,340 held by family partnerships of which reporting person is a general partner. Reporting person disclaims beneficial ownership of shares held for the benefit of persons other than the reporting person. Series A Common shares are convertible on a share for share basis into common. Reporting person is one of four trustees of a voting trust which is record owner of these Series A Common shares and which files its holdings on a Form 4. Of these shares, 423,111 are held by GRAT and 38,411 Series A common shares held for the benefit of spouse and children. Includes 1,422,427 shares which are held by family partnerships of which reporting person is a general partner. Reporting person disclaims beneficial ownership of shares held for the benefit of persons other than the reporting person. Julie D. Mathews, by power of atty 2021-01-06