FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
INTEL CORP [ INTC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/27/2008 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) 02/10/2009 |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Restricted Stock Units | $0(1) | 11/26/2008 | J | 900(2) | 04/21/2007(3) | (3) | Common Stock | 900 | $0 | 5,100 | D | |||
Restricted Stock Units - Former Spouse | $0(1) | 11/26/2008 | J | 900(2)(4) | 04/21/2007(3) | (3) | Common Stock | 900 | $0 | 900 | I | By Former Spouse | ||
Restricted Stock Units | $0(1) | 11/26/2008 | J | 1,912.5(2) | 04/19/2008(3) | (3) | Common Stock | 1,912.5 | $0 | 17,212.5 | D | |||
Restricted Stock Units - Former Spouse | $0(1) | 11/26/2008 | J | 1,912.5(2)(4) | 04/19/2008(3) | (3) | Common Stock | 1,912.5 | $0 | 1,912.5 | I | By Former Spouse | ||
Restricted Stock Units | $0(1) | 11/26/2008 | 4J | 1,912.5(5) | 04/17/2009(3) | (3) | Common Stock | 1,912.5 | $0 | 23,587.5 | D | |||
Restricted Stock Units - Former Spouse | $0(1) | 11/26/2008 | 4J | 1,912.5(4)(5) | 04/17/2009(3) | (3) | Common Stock | 1,912.5 | $0 | 1,912.5 | I | By Former Spouse |
Explanation of Responses: |
1. Each restricted stock unit represents the right to receive, following vesting, one share of Intel Corporation common stock. |
2. Number of restricted stock units transferred by the reporting person to his former spouse reflected in the reporting person's original Form 5 was incorrect. |
3. Unless earlier forfeited under the terms of the RSU, 25% of the award vests and converts into common stock on each anniversary of the grant date, unless that date falls on a non-business date, in which case the next business date shall apply. |
4. Number of Derivative Securities held at the end of the period reflects the transfer on 11/26/08 of 4,725 Restricted Stock Units to the reporting person's former spouse. This transfer is of economic benefit. |
5. The transfer of 1,912.5 restricted stock units by the reporting person to his former spouse was inadvertently omitted from the reporting person's original Form 5. |
/s/ Lulu De Guia, attorney-in-fact | 04/22/2009 | |
** Signature of Reporting Person | Date | |
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). | ||
** 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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |