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