5 1 edgar.htm 5 Form 5

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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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).
X Form 3 Holdings Reported
X Form 4 Transactions Reported

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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Filed By
Romeo and Dye's
Section 16 Filer
www.section16.net



1. Name and Address of Reporting Person*

Labry III Edward A

2. Issuer Name and Ticker or Trading Symbol
Concord EFS CE

6. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
X Director                                       10% Owner
X Officer (give title below)          Other (specify below)

President, Concord EFS, Inc.                     

(Last)      (First)     (Middle)

2525 Horizon Lake Drive, Suite 120
 

3. I.R.S. Identification Number
of Reporting Person,
if an entity (voluntary)

 

4. Statement for
Month/Year
February 2003

(Street)

Memphis, TN 38133

5. If Amendment,
Date of Original
(Month/Year)
 
7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
    Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)

2. Trans-
action
Date
(Month/ Day/
Year)

2A. Deemed
Execution
Date,
if any
(Month/Day/
Year)

3. Trans-
action Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 & 5)

5. Amount of
Securities
Beneficially
Owned at End of Issuer's
Fiscal year
(Instr. 3 & 4)

6. Owner-
ship Form:
Direct (D)
or Indirect (I)
(Instr. 4)

7. Nature of Indirect
Beneficial Ownership
(Instr. 4)

Amount

(A)
or
(D)

Price

Common Sock

 

 

 

 

 

 

91,886

D

 

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).

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 control number

FORM 5 (continued)

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. Conver-
sion or
Exercise
Price of Derivative Security

3. Trans-
action Date

(Month/
Day/
Year)

3A. Deemed
Execution
Date,
if any
(Month/
Day/
Year)

4. Trans-
action
Code

(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)

(Instr. 3, 4 & 5)

6. Date Exercisable
and Expiration
Date
(Month/Day/
Year)

7. Title and Amount of Underlying Securities
(Instr. 3 & 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of
Derivative
Securities
Beneficially
Owned
at End of Year
(Instr. 4)

10. Owner-
ship Form
of Deriv-
ative
Security:
Direct (D)
or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

(A)

(D)

Date Exer-cisable

Expira-
tion
Date

Title

Amount or Number of
Shares

Incentive Stock Options

4.33330

 

 

 

 

 

4/3/1997

4/3/2006

Common

120,154

4.33330

 

 

 

Incentive Stock Options

6.38890

 

 

 

 

 

11/20/1997

11/20/2006

Common

225,000

6.38890

 

 

 

Incentive Stock Options

5.08330

 

 

 

 

 

3/6/1998

3/6/2007

Common

3,600,000

5.08330

 

 

 

Incentive Stock Options

6.75000

 

 

 

 

 

2/26/1999

2/26/2008

Common

1,125,000

6.75000

 

 

 

Incentive Stock Options

6.75000

 

 

 

 

 

2/26/2003(1)

2/26/2008

Common

2,250,000

6.75000

 

 

 

Incentive Stock Options

10.66670

 

 

 

 

 

2/26/03(2)

1/4/2009

Common

1,125,000

10.66670

 

 

 

Incentive Stock Options

10.50000

 

 

 

 

 

2/18/2001

2/18/2009

Common

1,125,000

10.50000

 

 

 

Incentive Stock Options

10.54170

 

 

 

 

 

2/26/2001

2/26/2009

Common

1,125,000

10.54170

 

 

 

Incentive Stock Options

9.06250

 

 

 

 

 

2/17/2004

2/17/2010

Common

1,125,000

9.06250

 

 

 

Incentive Stock Options

9.06250

 

 

 

 

 

2/17/2005

2/17/2010

Common

2,000,000

9.06250

 

 

 

Incentive Stock Options

14.22220

 

 

 

 

 

9/9/2005

9/9/2010

Common

562,500

14.22220

 

 

 

Incentive Stock Options

21.06250

 

 

 

 

 

2/22/2002

2/22/2011

Common

800,000

21.06250

 

 

 

Incentive Stock Options

33.35000

 

 

 

 

 

3/4/2003

3/4/2012

Common

900,000

33.35000

16082654

D

 

Explanation of Responses:

(1) No later than
(2) No latr than

  By: /s/ Edward A. Labry III
             Charlene Kraft
**Signature of Reporting Person
02/13/03
Date

**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.
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