-----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, GLq0e45h9A/fRE1b7HdsYPLWoaZ/QuzdjRPz027fEejjFMm9A09svFLfZhc3ITv6 48dMxNcTbw4URzPkfzcvxg== 0001209191-04-038457.txt : 20040730 0001209191-04-038457.hdr.sgml : 20040730 20040730202348 ACCESSION NUMBER: 0001209191-04-038457 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040730 FILED AS OF DATE: 20040730 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RJ REYNOLDS TOBACCO HOLDINGS INC CENTRAL INDEX KEY: 0000083612 STANDARD INDUSTRIAL CLASSIFICATION: CIGARETTES [2111] IRS NUMBER: 560950247 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 NORTH MAIN STREET CITY: WINSTON-SALEM STATE: NC ZIP: 27102 BUSINESS PHONE: 336-741-5500 MAIL ADDRESS: STREET 1: 401 NORTH MAIN STREET CITY: WINSTON SALEM STATE: NC ZIP: 27102 FORMER COMPANY: FORMER CONFORMED NAME: RJR NABISCO INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: REYNOLDS R J INDUSTRIES INC DATE OF NAME CHANGE: 19860501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRAZIER A D JR CENTRAL INDEX KEY: 0001088476 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06388 FILM NUMBER: 04943521 BUSINESS ADDRESS: STREET 1: C/O CAREMARK RX INC STREET 2: 3000 GALLERIA TWR #1000 CITY: BIRMINGHAM STATE: AL ZIP: 35244 BUSINESS PHONE: 2057338996 MAIL ADDRESS: STREET 1: C/O CAREMARK RX INC STREET 2: 3000 GALLERIA TWR #1000 CITY: BIRMINGHAM STATE: AL ZIP: 35244 4 1 bch90115_bch3frazier.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-07-30 1 0000083612 RJ REYNOLDS TOBACCO HOLDINGS INC RJR 0001088476 FRAZIER A D JR 401 N. MAIN STREET WINSTON-SALEM NC 27102 1 0 0 0 Common Stock 2004-07-30 4 D 0 7476.6360 0 D 0 D Director Stock Option (Right-to-Buy) 32.4375 2004-07-30 4 D 0 11400 D Common Stock 11400 0 D Deferred Stock Units 0 2004-07-30 4 D 0 9410.87 0 D Common Stock 9410.87 0 D Disposed of pursuant to the Business Combination Agreement, dated as of October 27, 2003, as amended, between the Issuer and Brown & Williamson Corporation, and the transactions related thereto, in exchange for an equal number of shares of Common Stock of Reynolds American Inc., or RAI, the new publicly held company created in the business combination. The value of such consideration was $70.25 per share, based on the closing price of the Issuer's Common Stock on July 29, 2004. Disposed of in the business combination described in footnote 1 in exchange for an employee stock option to acquire an equal number of shares of RAI Common Stock on the same terms. 1-for 1 Disposed of pursuant to the business combination described in footnote 1 in exchange for an equal number of Deferred Stock Units of RAI. Deferred Stock Units of the Issuer would have become payable, in cash or Common Stock, at the election of the reporting person, in January 2005 upon the reporting person's termination of service as a director of the Issuer as a result of the business combination described in footnote 1. The reporting person has opted to receive an equal number of RAI Deferred Stock Units at the closing and to receive a cash payment in January 2005. McDara P. Folan, III, Attorney-in-fact 2004-07-30 -----END PRIVACY-ENHANCED MESSAGE-----