0001019687-12-003901.txt : 20121107 0001019687-12-003901.hdr.sgml : 20121107 20121107164742 ACCESSION NUMBER: 0001019687-12-003901 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121105 FILED AS OF DATE: 20121107 DATE AS OF CHANGE: 20121107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON RICHARD H CENTRAL INDEX KEY: 0001200334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05424 FILM NUMBER: 121187384 MAIL ADDRESS: STREET 1: MEDTRONIC, INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DELTA AIR LINES INC /DE/ CENTRAL INDEX KEY: 0000027904 STANDARD INDUSTRIAL CLASSIFICATION: AIR TRANSPORTATION, SCHEDULED [4512] IRS NUMBER: 580218548 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: HARTSFIELD ATLANTA INTL AIRPORT STREET 2: 1030 DELTA BLVD CITY: ATLANTA STATE: GA ZIP: 30354-1989 BUSINESS PHONE: 4047152600 MAIL ADDRESS: STREET 1: P.O. BOX 20706 STREET 2: DEPT 981 CITY: ATLANTA STATE: GA ZIP: 30320-6001 FORMER COMPANY: FORMER CONFORMED NAME: DELTA AIR CORP DATE OF NAME CHANGE: 19660908 4 1 anderson_frm4-110512.xml FORM 4 X0306 4 2012-11-05 0 0000027904 DELTA AIR LINES INC /DE/ DAL 0001200334 ANDERSON RICHARD H C/O DELTA AIR LINES, INC., DEPT. 981 P.O. BOX 20574 ATLANTA, GA 30320 1 1 0 0 Chief Executive Officer Common Stock 2012-11-05 5 G 0 E 5000 D 1567941 D Common Stock 2012-11-06 5 G 0 E 2575 D 1565366 D Common Stock 174952 I By Wife Mr. Anderson donated 5,000 shares of Delta common stock to The Delta Employee and Retiree Care Fund, a non-profit charitable organization. The Fund was established in 2007 to provide financial assistance to eligible employees and retirees of Delta and its subsidiaries in the event of severe personal hardship, including those due to events such as natural disasters, fire, crime, death, illness or injury. These shares were specifically targeted to aid Delta employees and their families who have been directly impacted by Hurricane Sandy. Mr. Anderson donated 2,575 shares of Delta common stock to the Atlanta Habitat for Humanity, a non-profit charitable organization. /s/ Jan M. Davidson as attorney-in-fact for Richard H. Anderson 2012-11-07