-----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, F7gX6v3acTPOgzl3pOaIXuv6MR146aX7O/NMErMhLoE+YD3LbN7hCUmUSFTVD4dW 0IK+Zu74qKw7lKHlvD4/zQ== 0001209191-06-048757.txt : 20060905 0001209191-06-048757.hdr.sgml : 20060904 20060905145540 ACCESSION NUMBER: 0001209191-06-048757 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060831 FILED AS OF DATE: 20060905 DATE AS OF CHANGE: 20060905 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBINSON HARRIETT J CENTRAL INDEX KEY: 0001196567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13796 FILM NUMBER: 061073732 BUSINESS ADDRESS: STREET 1: 3500 TUXEDO ROAD NW CITY: ATLANTA STATE: GA ZIP: 30305 BUSINESS PHONE: 4042665532 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-08-31 0 0000043196 GRAY TELEVISION INC GTN 0001196567 ROBINSON HARRIETT J 4370 PEACHTREE ROAD, NE ATLANTA GA 30319 1 0 0 0 Common Class (GTN) 85500 D Common Class A (GTN.A) 10400 D Common Class (GTN) 118950 I Spouse Common Class (GTN) 43750 I Trustee for Children Common Class A (GTN.A) 1062380 I Trustee for Children Common Class (GTN) 35000 I Delta Fire & Casualty Ins. Co. Common Class A (GTN.A) 33750 I Delta Fire & Casualty Ins. Co. Common Class (GTN) 10000 I Delta Life Ins. Co. Common Class A (GTN.A) 135795 I Delta Life Ins. Co. Common Class A (GTN.A) 221706 I Bankers Fidelity Life Ins. Co. Common Class (GTN) 6000 I Georgia Casualty & Surety Co. Common Class A (GTN.A) 132354 I Georgia Casualty & Surety Co. Common Class (GTN) 72000 I Associated Casualty Ins. Co. Common Class A (GTN.A) 22000 I Associated Casualty Ins. Co. Common Class (GTN) 50000 I American Southern Ins. Co. Common Class (GTN) 4261 I Spouse 401 K Plan Common Class A (GTN.A) 101200 I Gulf Capital Services, Ltd. Common Class A (GTN.A) 634340 D Common Class A (GTN.A) 2006-08-31 4 P 0 3500 7.07 A 841375 I Spouse Option - Class A Common Stock (GTN.A) 15.39 2000-11-19 2008-11-19 GTN.A 11570 11570 I spouse Option - Common Stock (GTN) 10.93 2005-11-20 2008-11-20 GTN 45720 45720 I spouse Option - Common Stock (GTN) 9.58 2004-09-30 2007-09-30 GTN 125730 125730 I spouse Option - Common Stock (GTN) 9.82 2004-01-07 2007-01-07 GTN 76581 76581 I spouse Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 41316 54 D Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 27544 36 I Trustee for children Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 27544 36 I Trustee for children Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 133894 175 I Georgia Casualty and Surety Co. Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 133894 175 I Bankers Fidelity Life Insurance Co. Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 228003 298 I Delta Life Insurance Co. Series C Pref Stock 13.07 2007-04-22 2012-04-22 GTN 38256 50 I Delta Fire & Casualty Insurance Co. Option - Common Stock (GTN) 12.30 2005-05-19 2007-11-19 GTN 57150 57150 I Spouse Options-Common Stock (GTN) 9.71 2005-06-07 2010-06-07 GTN 142875 142875 I Spouse Held in 401K plan and based on plan statement as of 12/31/05. In April of 2002, the Company issued Series C Preferred Stock to Mr. Robinson and certain of his affiliates in exchange for Series A and Series B Preferred Stock then held by Mr. Robinson. The Series C Preferred Stock is convertible into the Company's Common Stock ("GTN")at a conversion price of $13.07 per share (as adjusted for spin off of TCM). The Series C Preferred Stock is redeemable at the Company'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 ($13.07 as adjusted for spin off of TCM). Reflects anti-dilution adjustment undertaken as a result of the spin-off completed on December 30, 2005. Dottie Boudreau by power of attorney 2006-09-05 -----END PRIVACY-ENHANCED MESSAGE-----