FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
LAS VEGAS SANDS CORP [ LVS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2011 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 12/14/2011 | G(1) | 19,565,706 | A | $0 | 42,130,365 | I | By the General Trust under the Sheldon G. Adelson 2007 Remainder Trust u/d/t dated 5/1/07 | |||||||
Common Stock | 12/14/2011 | G(2) | 19,565,706 | A | $0 | 42,130,364 | I | By the General Trust under the Sheldon G. Adelson 2007 Friends and Family Trust u/d/t dated 5/1/07 | |||||||
Common Stock | 12/19/2011 | G(3) | 7,414,079 | A | $0 | 8,249,996 | D | ||||||||
Common Stock | 12/19/2011 | G(4) | 8,249,079 | D | $0 | 917 | D | ||||||||
Common Stock | 12/19/2011 | G(4) | 8,249,079 | A | $0 | 8,249,079 | I | By the Miriam Adelson December 2011 LVS Annuity Trust | |||||||
Common Stock | 12,692,516 | I | By ESBT S Trust | ||||||||||||
Common Stock | 7,342,516 | I | By ESBT Y Trust | ||||||||||||
Common Stock | 13,692,517 | I | By QSST A Trust | ||||||||||||
Common Stock | 13,692,517 | I | By QSST M Trust | ||||||||||||
Common Stock | 5,144,415 | I | By Sheldon G. Adelson 2004 Remainder Trust. | ||||||||||||
Common Stock | 18,139,344 | I | By the Miriam Adelson June 2011 Two Year LVS Annuity Trust | ||||||||||||
Common Stock | 4,000,000 | I | By the Miriam Adelson October 2011 Two Year LVS Annuity Trust | ||||||||||||
Common Stock | 13,707 | I | By the Sivan Ochshorn 2010 Grantor Trust | ||||||||||||
Common Stock | 100 | I | By son | ||||||||||||
Common Stock | 12,566,710 | I | By Adfam Investment Company LLC |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. The shares were distributed by the Sheldon G. Adelson December 2008 Three Year LVS Annuity Trust to the General Trust under the Sheldon G. Adelson 2007 Remainder Trust u/d/t dated May 1, 2007. Dr. Miriam Adelson, Timothy D. Stein and Irwin Chafetz serve as the trustees of the trust. Dr. Adelson retains the sole power to direct the vote of these shares. |
2. The shares were distributed by the Sheldon G. Adelson December 2008 Three Year LVS Annuity Trust to the General Trust under the Sheldon G. Adelson 2007 Friends and Family Trust u/d/t dated May 1, 2007. Dr. Adelson, Mr. Stein and Mr. Chafetz serve as the trustees of the trust. Dr. Adelson retains the sole power to direct the vote of these shares. |
3. The shares were gifted by Sheldon G. Adelson, Dr. Adelson's spouse, to Dr. Adelson. |
4. The shares were gifted by Dr. Adelson to the Miriam Adelson December 2011 LVS Annuity Trust. Dr. Adelson and Mr. Stein serve as the trustees of the trust. Mr. Stein retains the sole power to direct the vote of these shares. |
/s/ Miriam Adelson | 02/10/2012 | |
** 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 4 (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. |