0001179110-13-004387.txt : 20130306 0001179110-13-004387.hdr.sgml : 20130306 20130306160716 ACCESSION NUMBER: 0001179110-13-004387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130304 FILED AS OF DATE: 20130306 DATE AS OF CHANGE: 20130306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERETSMAN NANCY B CENTRAL INDEX KEY: 0001168691 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25581 FILM NUMBER: 13669636 MAIL ADDRESS: STREET 1: ALLEN & CO STREET 2: 711 FIFTH AVE 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10021 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRICELINE COM INC CENTRAL INDEX KEY: 0001075531 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 061528493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: 203-299-8000 MAIL ADDRESS: STREET 1: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 4 1 edgar.xml FORM 4 - X0306 4 2013-03-04 0 0001075531 PRICELINE COM INC PCLN 0001168691 PERETSMAN NANCY B 800 CONNECTICUT AVENUE NORWALK CT 06854 1 0 0 0 Restricted Stock Unit Grant 2013-03-04 4 A 0 359 0 A 359 D Common Stock 3237 D Common Stock 35165 I See Footnote Restricted Stock Units 380 D March 4, 2013 grant of 359 restricted stock units. Subject to continued service, all units will vest and the underlying shares will be distributed on March 5, 2014 or earlier, in the event of, among other things, a "change in control" (as defined in the restricted stock unit agreement) of the Company and/or termination of directorship. Includes 863 shares of common stock, the receipt of which have been deferred and 521 shares held by a limited liability company, of which the Reporting Person is a Manager. Shares held by The Scully Peretsman Foundation, for which the Reporting Person serves as a trustee. The Reporting Person disclaims beneficial ownership of these shares. /s/ Nancy B. Peretsman 2013-03-05