0000014272-21-000216.txt : 20211001 0000014272-21-000216.hdr.sgml : 20211001 20211001162953 ACCESSION NUMBER: 0000014272-21-000216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211001 DATE AS OF CHANGE: 20211001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rice Derica W CENTRAL INDEX KEY: 0001359067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01136 FILM NUMBER: 211299297 MAIL ADDRESS: STREET 1: 1000 NICOLLET MALL STREET 2: TPS-3155 CITY: MINNEAPOLIS STATE: MN ZIP: 55403 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BRISTOL MYERS SQUIBB CO CENTRAL INDEX KEY: 0000014272 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 220790350 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 430 E. 29TH STREET STREET 2: 14 FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 2125464000 MAIL ADDRESS: STREET 1: 430 E. 29TH STREET STREET 2: 14 FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 FORMER COMPANY: FORMER CONFORMED NAME: BRISTOL MYERS CO DATE OF NAME CHANGE: 19891012 4 1 wf-form4_163312018129395.xml FORM 4 X0306 4 2021-09-30 0 0000014272 BRISTOL MYERS SQUIBB CO BMY 0001359067 Rice Derica W 430 E. 29TH STREET 14TH FLOOR NEW YORK NY 10016 1 0 0 0 Deferred Share Units 2021-09-30 4 A 0 591.516 0 A Common Stock, $0.10 par value 591.516 6618.059 D Each Deferred Share Unit will be converted into a share of common stock upon settlement. The Deferred Share Units become settleable when the reporting person ceases to be a director or at a future date previously specified by the reporting person. Includes deferred compensation and dividends reinvested under the 1987 Deferred Compensation Plan for Non-Employee Directors. /s/ Lisa A. Atkins, attorney-in-fact for Derica W. Rice 2021-10-01