0001209191-22-008926.txt : 20220211 0001209191-22-008926.hdr.sgml : 20220211 20220211171437 ACCESSION NUMBER: 0001209191-22-008926 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220211 DATE AS OF CHANGE: 20220211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBERTS MICHAEL JAMES CENTRAL INDEX KEY: 0001269959 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07784 FILM NUMBER: 22622676 MAIL ADDRESS: STREET 1: ONE MCDONALD'S PLAZA CITY: OAK BROOK STATE: IL ZIP: 60523 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lumen Technologies, Inc. CENTRAL INDEX KEY: 0000018926 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 720651161 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 4065 STREET 2: 100 CENTURYLINK DR CITY: MONROE STATE: LA ZIP: 71203 BUSINESS PHONE: 3183889000 MAIL ADDRESS: STREET 1: 100 CENTURYLINK DR STREET 2: P O BOX 4065 CITY: MONROE STATE: LA ZIP: 71203 FORMER COMPANY: FORMER CONFORMED NAME: CENTURYLINK, INC DATE OF NAME CHANGE: 20101108 FORMER COMPANY: FORMER CONFORMED NAME: CENTURYTEL INC DATE OF NAME CHANGE: 19990602 FORMER COMPANY: FORMER CONFORMED NAME: CENTURY TELEPHONE ENTERPRISES INC DATE OF NAME CHANGE: 19920703 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 0 0000018926 Lumen Technologies, Inc. LUMN 0001269959 ROBERTS MICHAEL JAMES 100 CENTURYLINK DRIVE MONROE LA 71203 1 0 0 0 Phantom Stock Common Stock 644 8927 D Includes an additional 644 phantom shares acquired by the Reporting Person through reinvestment of dividend equivalents during fiscal 2021. Each share of phantom stock represents the right to receive the fair market value of one share of the Issuer's common stock, payable to the Reporting Person in cash as soon as practicable following the end of his service as director or otherwise in accordance with the terms of the legacy Qwest Deferred Compensation Plan for Non-Employee Directors. /s/ Gary Maxwell Cox, as attorney-in-fact for Michael James Roberts 2022-02-11