-----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, Hk4KzZfiB2S1SsEYkSJoV+hea1wIdMu0Wmv8kqazoNM0gkHzT1UVc3WpID0wYnJd ydClv6NyfrCf/sZU7AwBtg== 0000887207-97-000010.txt : 19970222 0000887207-97-000010.hdr.sgml : 19970222 ACCESSION NUMBER: 0000887207-97-000010 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19961231 FILED AS OF DATE: 19970213 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ULTRAMAR DIAMOND SHAMROCK CORP CENTRAL INDEX KEY: 0000887207 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 133663331 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11154 FILM NUMBER: 97530342 BUSINESS ADDRESS: STREET 1: 9830 COLONNADE STREET 2: P O BOX 696000 CITY: SAN ANTONIO STATE: TX ZIP: 78269-6000 BUSINESS PHONE: 2106416800 MAIL ADDRESS: STREET 1: TWO PICKWICK PLAZA STREET 2: THIRD FLOOR CITY: GREENWICH STATE: CT ZIP: 06830 FORMER COMPANY: FORMER CONFORMED NAME: ULTRAMAR CORP /DE DATE OF NAME CHANGE: 19930328 COMPANY DATA: COMPANY CONFORMED NAME: EISMAN WALLACE P CENTRAL INDEX KEY: 0001019715 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: PO BOX 696000 CITY: SAN ANTONIO STATE: TX ZIP: 78269-6000 BUSINESS PHONE: 2106418750 MAIL ADDRESS: STREET 1: PO BOX 696000 CITY: SAN ANTONIO STATE: TX ZIP: 78269-6000 5 1 FORM 5 - DECEMBER 31, 1996 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Eisman, Wallace P. P.O. Box 696000 San Antonio, Texas 78269-6000 2. Issuer Name and Ticker or Trading Symbol Ultramar Diamond Shamrock Corporation (UDS) 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year December 31, 1996 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Senior Vice President-Refining Southwest 7. Individual or Joint/Group Reporting (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 |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |12/03/|F |91 |D |$31.86 | |D | | |96 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |12/03/|A |122(e) |A |$32.2304 |3,801(b) |D | | |96 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | |2,991(d) |I |(d) | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Option (r|$30.125 |12/19|A |76,000 |A |(aa) |12/19|Common Stock|76,000 |$30.125| |D | | ight to buy)(g) | |/96 | | | | |/04 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (r|$30.125 |12/19|A |50,000 |A |(bb) |12/19|Common Stock|50,000 |$30.125| |D | | ight to buy)(g) | |/96 | | | | |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Cash Only Securities | | | | | |(gg) | |Common Stock|298 | | |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Cash Only Securities | | | | | |(hh) | |Common Stock|31 | |145,742 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (b) 1,081 of such shares were issued pursuant to Long-Term Incentive Plan and remain subject to forfeiture as of December 31, 1996. (d) Held by Trustee of the Company's Employee Stock Ownership Plans. (e) These shares represent shares that were issued upon termination and payout of Diamond Shamrock, Inc.'s Performance Units issued under the Company's Long Term Incentive Plans. The right to such shares accrued effective December 3, 1996 and they were delivered effective January 15, 1997. (g) Employee Stock Option granted under Ultramar Diamond Shamrock Corporation's 1996 Long Term Incentive Plan. (aa) Option granted to reporting person under Long Term Incentive Plan exempt under Rule 16b-3. The option becomes exercisable in 30%, 30% and 40% increments on December 19, 1997, December 19, 1998 and December 19, 1999, respectively. (bb) Option granted to reporting person under Long Term Incentive Plan exempt under Rule 16b-3. The option automatically vests in four and one-half years. The option will vest 50% if Ultramar Diamond Shamrock Corporation common stock has a value of $36.00 or more on the New York Stock Exchange for 30 consecutive trading days. The option will vest 100% if Ultramar Diamond Shamrock Corporation common stock has a value of $45.00 or more on the New York Stock Exchange for 30 consecutive trading days. (gg) Cash only securities denominated in Ultramar Diamond Shamrock Corporation stock held in the Company's Non-qualified 401(k) Plan for Mr. Eisman's account. (hh) Cash only securities denominated in Ultramar Diamond Shamrock Corporation stock held in the Company's Excess ESOP Plan for Mr. Eisman's account at December 31, 1996. SIGNATURE OF REPORTING PERSON /s/ WALLACE P. EISMAN (Power of Attorney) DATE February 10, 1997 -----END PRIVACY-ENHANCED MESSAGE-----