-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BwVszs+tPPd2Wpz4+8mV5OCCci9pi0bIY98Uu4gfQYUecoNQvdVbd0yWkF4hFjAh U57GGlqBEYZ0QtgJumZKpw== 0000317771-02-000024.txt : 20020414 0000317771-02-000024.hdr.sgml : 20020414 ACCESSION NUMBER: 0000317771-02-000024 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011228 FILED AS OF DATE: 20020208 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TELLABS INC CENTRAL INDEX KEY: 0000317771 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 363831568 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-09692 FILM NUMBER: 02530395 BUSINESS ADDRESS: STREET 1: ONE TELLABS CENTER STREET 2: 1415 WEST DIEHL ROAD CITY: NAPERVILLE STATE: IL ZIP: 60563 BUSINESS PHONE: 630-378-8800 MAIL ADDRESS: STREET 1: ONE TELLABS CENTER STREET 2: 1415 WEST DIEHL ROAD CITY: NAPERVILLE STATE: IL ZIP: 60563 COMPANY DATA: COMPANY CONFORMED NAME: JACKMAN BRIAN J CENTRAL INDEX KEY: 0001020434 DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: TELLABS OPERATIONS INC STREET 2: 4951 INDIANA AVENUE CITY: LISLE STATE: IL ZIP: 60532 5 1 edgar.txt FORM 5 - DECEMBER 28, 2001 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported (X) Form 4 Transactions Reported 1. Name and Address of Reporting Person Jackman, Brian J. 284 Donlea Drive Barrington Hills, IL 60010 USA 2. Issuer Name and Ticker or Trading Symbol Tellabs, Inc. (TLAB) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year December 28, 2001 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock | | | | | |78,810 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | |12,576 |I |(1) | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | |380 |I |(2) | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Options (|$50.31 |1/2/0|A |30,000 |A |(3) |1/2/1|Common Stock|30,000 | | | | | Rights to Buy) | |1 | | | | |1 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Options (|$16.63 |7/12/|A |500 |A |(3) |7/12/|Common Stock|500 | |846,500 |D | | Rights to Buy) | |01 | | | | |11 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) These shares are held for the benefit of the reporting person in the Tellabs Advantage Program. 11,853 shares were acquired during the plan year ending December 28, 2001. The information reported herein is based on a plan statement as of December 28, 2001. (2) These shares are held by reporting person's daughter. Reporting person disclaims beneficial ownership of all securities held by his daughter and this report should not be deemed as an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (3) These options become exercisable in cumulative annual installments of 25% on each of the 1st, 2nd, 3rd and 4th anniversaries of the grant date. SIGNATURE OF REPORTING PERSON /s/ Brian J. Jackman DATE January 24, 2002
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