FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/07/2009 |
3. Issuer Name and Ticker or Trading Symbol
NEUSTAR INC [ NSR ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 9,750(1) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Options | (2) | 02/22/2015 | Class A Common Stock | 32,400 | $26.38 | D | |
Employee Stock Options | (3) | 02/23/2016 | Class A Common Stock | 36,700 | $15.39 | D | |
Performance Share Units | 01/01/2012 | (4) | Class A Common Stock | 16,800(5) | $0.00 | D |
Explanation of Responses: |
1. The shares acquired have been awarded pursuant to a restricted stock agreement under the NeuStar, Inc. 2005 Stock Incentive Plan, pursuant to which 3,250 shares vest on each of February 11, 2010, 2011 and 2012. |
2. 8,775 options are immediately exercisable with the remaining options vesting in monthly installments through February 2012. |
3. Twenty-five percent of the options vest on February 23, 2010, after which the remaining options vest in thirty-six monthly installments. |
4. The performance share units terminate if the Reporting Person experiences a Termination (as defined in the NeuStar, Inc. 2005 Stock Incentive Plan) before January 1, 2012. |
5. Upon vesting, the reporting person will be entitled to receive shares of Class A Common Stock, the amount of which is based on, and subject to, the achievement of certain performance goals set forth in the Performance Award Agreement. The number of shares of Class A Common Stock that the reporting person will be entitled to receive will range from 0% to 150% of the number of shares of performance share units granted. |
Remarks: |
/s/ Martin K. Lowen, by power of attorney | 04/17/2009 | |
** 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 5 (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. |