-----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, HyImvUZZBPBozDI1iEiui/n45lobc9eGd+NYGUPx+RupwAUVF6Dz7od1ZhG0gFsh rRMlZkFkdecG56x42G9sUQ== 0001209191-09-045432.txt : 20090923 0001209191-09-045432.hdr.sgml : 20090923 20090923112836 ACCESSION NUMBER: 0001209191-09-045432 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090922 FILED AS OF DATE: 20090923 DATE AS OF CHANGE: 20090923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBINSON J MACK CENTRAL INDEX KEY: 0001008889 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13796 FILM NUMBER: 091082126 MAIL ADDRESS: STREET 1: 4370 PEACHTREE RD 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: ATLANTA STATE: GA ZIP: 30319 BUSINESS PHONE: 4042668333 MAIL ADDRESS: STREET 1: 4370 PEACHTREE ROAD NE CITY: ATLANTA 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 X0303 4 2009-09-22 0 0000043196 GRAY TELEVISION INC GTN 0001008889 ROBINSON J MACK 4370 PEACHTREE ROAD,NE ATLANTA GA 30319 1 0 0 0 Common Stock (GTN) 848350 D Common Stock (GTN) 355200 I Spouse Common Class A Stock (GTN.A) 2009-09-22 4 P 0 5000 2.8851 A 981676 D Common Class A Stock (GTN.A) 839583 I Spouse Common Stock (GTN) 109750 I Spouse as Trustee for Children Common Class A Stock (GTN.A) 1189180 I Spouse as Trustee for Children Common Stock (GTN) 35000 I Delta Fire & Casualty Ins. Co. Common Class A Stock (GTN.A) 33750 I Delta Fire & Casualty Ins. Co. Common Stock (GTN) 10000 I Delta Life Ins. Co. Common Class A Stock (GTN.A) 135795 I Delta Life Ins. Co. Common Class A Stock (GTN.A) 221706 I Bankers Fidelity Life Ins. 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) 50000 I Association Casualty Insurance Co. Common Class A Stock (GTN.A) 32000 I Association Casualty Insurance Co. Common Stock (GTN) 50000 I American Southern Insurance Co. Common Stock (GTN) 5518 D Common Stock (GTN) 100000 I Gulf Capital Services, Ltd. Common Class A Stock (GTN.A) 130300 I Gulf Capital Services, Ltd. Options - Common Stock (GTN) 9.71 2005-06-07 2010-06-07 GTN 142875 142875 D Options - Common Stock (GTN) 7.64 2010-02-01 2013-02-01 GTN 300000 300000 D Held in 401K plan and based on plan statement as of 12/31/07. Reflects anti-dilution adjustment undertaken as a result of the spin-off completed on December 30, 2005. Dottie Boudreau by power of attorney 2009-09-23 -----END PRIVACY-ENHANCED MESSAGE-----