-----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, B7oQXEq1ezwCI4m/K2hfsmLwTjUBKxU6pA662YkGzId4uyXudG2QVQLvnehqqX1Q OEl0C6IWb4us0EynT+/q6Q== 0001209191-05-048998.txt : 20050927 0001209191-05-048998.hdr.sgml : 20050927 20050927170143 ACCESSION NUMBER: 0001209191-05-048998 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050920 FILED AS OF DATE: 20050927 DATE AS OF CHANGE: 20050927 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOWELL HILTON H JR CENTRAL INDEX KEY: 0001213166 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13796 FILM NUMBER: 051105932 MAIL ADDRESS: STREET 1: 4370 PEACHTREE ROAD, N.E. CITY: ATLANTA STATE: GA ZIP: 30319 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRAY TELEVISION INC CENTRAL INDEX KEY: 0000043196 STANDARD INDUSTRIAL CLASSIFICATION: TELEVISION BROADCASTING STATIONS [4833] IRS NUMBER: 580285030 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4370 PEACHTREE ROAD NE CITY: ALBANY STATE: GA ZIP: 30319 BUSINESS PHONE: 9128889390 MAIL ADDRESS: STREET 1: 4370 PEACHTREE ROAD NE CITY: ALBANY STATE: GA ZIP: 30319 FORMER COMPANY: FORMER CONFORMED NAME: GRAY COMMUNICATIONS SYSTEMS INC /GA/ DATE OF NAME CHANGE: 19950612 FORMER COMPANY: FORMER CONFORMED NAME: GRAY COMMUNICATIONS CORP DATE OF NAME CHANGE: 19911011 FORMER COMPANY: FORMER CONFORMED NAME: GRAY COMMUNICATIONS SYSTEMS INC DATE OF NAME CHANGE: 19880331 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-09-20 0 0000043196 GRAY TELEVISION INC GTN 0001213166 HOWELL HILTON H JR 4370 PEACHTREE ROAD,NE ATLANTA GA 30319 1 1 0 0 Vice Chairman Common Stock (GTN) 189497 D Common Class A Stock (GTN.A) 58575 I Spouse Common Class A Stock (GTN.A) 500 I children Common Stock (GTN) 35000 I Delta Fire & Casualty Insurance Co. Common Class A Stock (GTN.A) 33750 I Delta Fire & Casualty Insurance Co. Common Stock (GTN) 10000 I Delta Life Insurance Co. Common Class A Stock (GTN.A) 135795 I Delta Life Insurance Co. Common Class A Stock (GTN.A) 221706 I Bankers Fidelity Life Insurance Co. Common Stock (GTN) 6000 I Georgia Casualty & Surety Co. Common Class A Stock (GTN.A) 132354 I Georgia Casualty & Surety Co. Common Stock (GTN) 72000 I Associated Casualty Insurance Co. Common Class A Stock (GTN.A) 25000 I Associated Casualty Insurance Co. Common Stock (GTN) 50000 I American Southern Insurance Co. Common Stock (GTN.A) 2005-09-23 4 P 0 500 10.12 A 60500 D Common Stock (GTN.A) 2005-09-23 4 P 0 500 10.14 A 61000 D Common Stock (GTN.A) 2005-09-23 4 P 0 500 10.16 A 61500 D Nonqualified Stock Option 11.10 2005-09-20 4 A 0 90000 11.10 A 2007-09-20 2010-09-20 GTN 90000 90000 D Nonqualified Stock Option 8.89 2004-10-28 2007-10-28 GTN 25000 25000 D Nonqualified Stock Option 11.23 2004-01-07 2007-01-07 GTN 6700 6700 D Series C Preferred Stock 14.39 2007-04-22 2012-04-22 GTN 121612 175 I Georgia Casualty & Surety Co. Series C Preferred Stock 14.39 2007-04-22 2012-04-22 GTN 121612 175 I Bankers Fidelity Life Insurance Co. Series C Preferred Stock 14.39 2007-04-22 2012-04-22 GTN 207088 298 I Delta Life Insurance Co. Series C Preferred Stock 14.39 2007-04-22 2012-04-22 GTN 34746 50 I Delta Fire & Casualty Insurance Co. In April of 2002, Gray Television, Inc. issued Series C Preferred Stock to certain affiliates of Mr. Howell and others unaffiliated with Mr. Howell or Gray. The Series C Preferred Stock is convertible into Gray's Common Stock ("GTN") at a conversion price of $14.39 per share. The Series C Preferred Stock is redeemable at Gray's option on or after April 22, 2007 and is subject to mandatory redemption on April 22, 2012 at a value of $10,000 per share. Each share of Series C Preferred Stock is convertible into a number of shares of common stock determined by dividing the liquidation preference ($10,000) by the conversion price ($14.39). J. S. Cowart IV, by Power of Attorney 2005-09-27 -----END PRIVACY-ENHANCED MESSAGE-----