0001127602-12-004544.txt : 20120208 0001127602-12-004544.hdr.sgml : 20120208 20120208075148 ACCESSION NUMBER: 0001127602-12-004544 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120208 DATE AS OF CHANGE: 20120208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURNS URSULA M CENTRAL INDEX KEY: 0001190699 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04471 FILM NUMBER: 12579747 MAIL ADDRESS: STREET 1: C/O BOSTON SCIENTIFIC CORP STREET 2: ONE BOSTON SCIENTIFIC PL CITY: NATICK STATE: MA ZIP: 017601537 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XEROX CORP CENTRAL INDEX KEY: 0000108772 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 160468020 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 GLOVER AVENUE STREET 2: PO BOX 4505 CITY: NORWALK STATE: CT ZIP: 06856 BUSINESS PHONE: 2039683000 MAIL ADDRESS: STREET 1: 45 GLOVER AVENUE STREET 2: PO BOX 4505 CITY: NORWALK STATE: CT ZIP: 06856 FORMER COMPANY: FORMER CONFORMED NAME: HALOID XEROX INC DATE OF NAME CHANGE: 19730813 5 1 form5.xml PRIMARY DOCUMENT X0304 5 2011-12-31 0 0 0000108772 XEROX CORP XRX 0001190699 BURNS URSULA M 45 GLOVER AVENUE P.O BOX 4505 NORWALK CT 06856-4505 1 1 Chairman and CEO Xerox Stock Fund 103303.3308 I Owned by Spouse Balance reflects 5,250.9017 units sold pursuant to Internal Revenue Service's mandatory distribution rules in spouse's 401k account. Units acquired in Xerox Stock Fund under Xerox Savings Plan. Amount does not represent shares of stock, but dollars invested divided by unit value. Karen Boyle, Attorney in Fact 2012-02-08