SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
PALMER DAN M

(Last) (First) (Middle)
2525 HORIZON LAKE DRIVE, SUITE 120

(Street)
MEMHIS TN 38133

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CONCORD EFS INC [ CE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Co-Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/26/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 Securities Beneficially Owned Following Reported Transaction(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
Common Stock 02/26/2004 D 40,000 D (1) 0 D
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) 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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy) $4.3333 02/26/2004 D 23,076 (2) 04/03/2006 Common stock 23,076 (2) 0 D
Stock Options (right to buy) $6.3889 02/26/2004 D 218,476 (2) 11/20/2006 Common stock 218,476 (2) 0 D
Stock Options (right to buy) $5.0833 02/26/2004 D 2,100,000 (2) 03/06/2007 Common stock 2,100,000 (2) 0 D
Stock Options (right to buy) $6.75 02/26/2004 D 1,125,000 (2) 02/26/2008 Common stock 1,125,000 (2) 0 D
Stock Options (right to buy) $6.75 02/26/2004 D 2,250,000 (2) 02/26/2008 Common stock 2,250,000 (2) 0 D
Stock Options (right to buy) $10.6667 02/26/2004 D 1,125,000 (2) 01/04/2009 Common stock 1,125,000 (2) 0 D
Stock Options (right to buy) $10.5 02/26/2004 D 1,125,000 (2) 02/18/2009 Common stock 1,125,000 (2) 0 D
Stock Options (right to buy) $10.5417 02/26/2004 D 1,125,000 (2) 02/26/2009 Common stock 1,125,000 (2) 0 D
Stock Options (right to buy) $9.0625 02/26/2004 D 1,125,000 (2) 02/17/2010 Common stock 1,125,000 (2) 0 D
Stock Options (right to buy) $9.0625 02/26/2004 D 2,000,000 (2) 02/17/2010 Common stock 2,000,000 (2) 0 D
Stock Options (right to buy) $14.222 02/26/2004 D 562,500 (2) 09/29/2010 Common stock 562,500 (2) 0 D
Stock Options (right to buy) $21.0625 02/26/2004 D 800,000 (2) 02/22/2011 Common stock 800,000 (2) 0 D
Stock Options (right to buy) $33.35 02/26/2004 D 900,000 (2) 03/04/2012 Common stock 900,000 (2) 0 D
Stock Options (right to buy) $1.9753 02/26/2004 D 672,804 (2) 04/18/2005 Common Stock 672,804 (2) 0 I Family entities(3)
Stock Options (right to buy) $4.3333 02/26/2004 D 820,674 (2) 04/03/2006 Common stock 820,674 (2) 0 I Family entities(3)
Stock options (right to buy) $5.0833 02/26/2004 D 1,500,000 (2) 03/06/2007 Common Stock 1,500,000 (2) 0 I Family entities(3)
Stock Options (right to buy) $6.3889 02/26/2004 D 6,522 (2) 11/20/2006 Common Stock 6,522 (2) 0 I Family entities(3)
Explanation of Responses:
1. Disposed of pursuant to the Agreement and Plan of Merger, dated as of April 1, 2003 by and among First Data Corporation, Monaco Subsidiary Corporation and Concord EFS, Inc., as amended by the Amendment and Abeyance Agreement, dated as of December 14, 2003, in exchange for the number of shares of First Data common stock equal to the amount of securities disposed, as set forth in column 4, multiplied by .365 with cash paid in lieu of fractional shares. First Data common stock had a closing price of $40.95 per share on the date of the merger.
2. This option, which was exercisable at the effective time of the merger, was assumed by First Data in the merger and converted into an option to purchase the whole number of shares of First Data common stock equal to number of previously underlying shares of Concord common stock, as set forth in column 7, multiplied by .365 and rounded to the nearest whole share. The exercise price per share of the converted option is equal to the exercise price per share of Concord common stock subject to the option set forth in column 2 in effect immediatey prior to the effective time of the merger divided by .365 and rounded to the nearest whole cent.
3. Reflects options held by family entities, as to which Mr. Palmer disclaims beneficial ownership.
Remarks:
Dan M. Palmer / Charlene Kraft 02/26/2004
** 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).
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