-----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, KsG0BaduU7dIjo9JpBkXl8f7ZF1x6iDZpQDuCaOiBoOS3aJZEU7s10vEKP20SGxE zY4q18j4p5yYgNCAb0AOpg== 0000950134-02-012112.txt : 20021003 0000950134-02-012112.hdr.sgml : 20021003 20021003142321 ACCESSION NUMBER: 0000950134-02-012112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021001 FILED AS OF DATE: 20021003 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: US BANCORP \DE\ CENTRAL INDEX KEY: 0000036104 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 410255900 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06880 FILM NUMBER: 02780848 BUSINESS ADDRESS: STREET 1: 601 2ND AVENUE SOUTH STREET 2: FIRST BANK PLACE CITY: MINNEAPOLIS STATE: MN ZIP: 55402-4302 BUSINESS PHONE: 6129731111 MAIL ADDRESS: STREET 1: 601 2ND AVENUE SOUTH STREET 2: FIRST BANK PLACE CITY: MINNEAPOLIS STATE: MN ZIP: 55402-4302 FORMER COMPANY: FORMER CONFORMED NAME: FIRST BANK STOCK CORP DATE OF NAME CHANGE: 19720317 FORMER COMPANY: FORMER CONFORMED NAME: FIRST BANK SYSTEM INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: COLLINS ARTHUR D JR CENTRAL INDEX KEY: 0001038253 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 BUSINESS PHONE: 7635144000 MAIL ADDRESS: STREET 1: 710 MEDTRONIC PKWY STREET 2: MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 4 1 c72193e4.htm FORM 4 U.S. Bancorp
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 4

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(h) of the Investment Company Act of 1940

o Check this box if no longer
subject to Section 16.
Form 4 or Form 5
obligations may continue.
See Instruction 1(b).

1. Name and Address of Reporting
Person*
2. Issuer Name and Ticker or Trading
Symbol
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  Collins, Jr., Arthur D.
(Last) (First) (Middle)
  U.S. Bancorp (USB)
 
     
  Medtronic, Inc.
710 Medtronic Parkway, N.E.

(Street)
4. Statement for Month/Day/Year 5. If Amendment, Date of Original (Month/Day/Year)
    10/01/02
 
     
    6. Relationship of Reporting Person(s)
to Issuer
(Check All Applicable)
7. Individual or Joint/Group Filing
(Check Applicable Line)
  Minneapolis, MN 55432-5604
(City)        (State)        (Zip)
  x  Director o  10% Owner   x Form Filed by One Reporting Person
    o  Officer (give title below)   o Form Filed by More than One Reporting Person
    o  Other (specify below)  
     
     

Reminder:   Report on a separate line for each class of securities beneficially owned directly or indirectly.
 
*   If the form is filed by more than one reporting person, see instruction 4(b)(v).


 

                                               

Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)
2. Transaction
Date

(Month/Day/Year)
2A. Deemed Execution
Date, if any

(Month/Day/Year)
3. Transaction
Code

(Instr. 8)
4. Securities Acquired (A) or
Disposed of (D)

(Instr. 3, 4 and 5)
5. Amount of Sec-
urities Beneficially
Owned Following
Reported Trans-
action(s)

(Instr. 3 and 4)
6. Ownership
Form:
Direct (D) or
Indirect (I)

(Instr. 4)
7. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

              Code V   Amount (A)
or
(D)
Price          

                         

                         

                         

                         

                         

                         

                         

                         

                         

                         

Page 2


 


Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned
  (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
Security

(Instr. 3)
2. Conversion or Exercise
Price of Derivative
Security
3. Transaction
Date

(Month/Day/Year)
3A.  Deemed Execution
Date, if any

(Month/Day/Year)
4. Transaction
Code

(Instr. 8)
5. Number of Derivative Securities
Acquired (A) or Disposed of (D)

(Instr. 3, 4 and 5)

                      Code V   (A) (D)

  Non-Employee Director Stock Option (Right to Buy)     $18.95     10/01/02     A   800

  Non-Employee Director Stock Option (Right to Buy)     $23.18          

  Non-Employee Director Stock Option (Right to Buy)     $22.16          

  Non-Employee Director Stock Option (Right to Buy)     $20.78          

  Non-Employee Director Stock Option (Right to Buy)     $20.78          

  Non-Employee Director Stock Option (Right to Buy)     $20.78          

  Non-Employee Director Stock Option (Right to Buy)     $22.02          

  Non-Employee Director Stock Option (Right to Buy)     $23.31          

  Non-Employee Director Stock Option (Right to Buy)     $23.20          

  Non-Employee Director Stock Option (Right to Buy)     $22.60          

  Non-Employee Director Stock Option (Right to Buy)     $23.34          

  Non-Employee Director Stock Option (Right to Buy)     $16.85          

  Non-Employee Director Stock Option (Right to Buy)     $29.35          

  Non-Employee Director Stock Option (Right to Buy)     $34.09          

  Non-Employee Director Stock Option (Right to Buy)     $19.13          

  Non-Employee Director Stock Option (Right to Buy)     $18.93          

  Non-Employee Director Stock Option (Right to Buy)     $15.68          

  Non-Employee Director Stock Option (Right to Buy)     $14.89          

Page 3


 


Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned — Continued
(e.g., puts, calls, warrants, options, convertible securities)

6. Date Exercisable and
Expiration Date

(Month/Day/Year)
7. Title and Amount
of Underlying Securities

(Instr. 3 and 4)
8. Price of Derivative
Security

(Instr. 5)
9. Number of Derivative Securities
Beneficially Owned Following
Reported Transaction(s)

(Instr. 4)
10. Ownership Form of
Derivative Security:
Direct (D) or
Indirect (I)

(Instr. 4)
11. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

  Date
Exercisable
Expiration
Date
  Title Amount or
Number of
Shares
                       

  (1) 10/01/12   Common Stock 800     (2)       800     D  

  7/01/12   Common Stock 1,375           1,375     D  

  4/01/12   Common Stock 1,250           1,250     D  

  1/02/12   Common Stock 9,150           9,150     D  

  1/02/12   Common Stock 8,600           8,600     D  

  1/02/12   Common Stock 2,250           2,250     D  

  10/01/11   Common Stock 1,000           1,000     D  

  7/02/11   Common Stock 875           875     D  

  4/02/11   Common Stock 875           875     D  

  3/12/11   Common Stock 7,350           7,350     D  

  2/27/11   Common Stock 15,000           15,000     D  

  4/19/10   Common Stock 6,451           6,451     D  

  4/20/09   Common Stock 6,451           6,451     D  

  4/22/08   Common Stock 6,451           6,451     D  

  4/24/07   Common Stock 6,451           6,451     D  

  1/15/07   Common Stock 1,006           1,006     D  

  4/17/06   Common Stock 5,692           5,692     D  

  2/21/06   Common Stock 9,487           9,487     D  

Explanation of Responses:

(1) - The option vests in four equal annual installments beginning on October 1, 2003.

(2) - Stock Option aquired from Issuer in lieu of $3,500 of cash compensation for third quarter 2002 director fees under the 2001 Executive Stock Incentive Plan.

By: /s/ By Lee R. Mitau For Arthur D. Collins, Jr.   10/03/02

**Signature of Reporting Person
 
Date


**   Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
 
Note:   File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

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