0001120437-21-000076.txt : 20210520
0001120437-21-000076.hdr.sgml : 20210520
20210520160818
ACCESSION NUMBER: 0001120437-21-000076
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210519
FILED AS OF DATE: 20210520
DATE AS OF CHANGE: 20210520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CARLSON LEROY T JR
CENTRAL INDEX KEY: 0000901731
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14157
FILM NUMBER: 21944547
MAIL ADDRESS:
STREET 1: C/O TDS
STREET 2: 30 N. LASALLE ST #4000
CITY: CHICAGO
STATE: IL
ZIP: 60602
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TELEPHONE & DATA SYSTEMS INC /DE/
CENTRAL INDEX KEY: 0001051512
STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813]
IRS NUMBER: 362669023
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 30 NORTH LASALLE STREET
STREET 2: STE 4000
CITY: CHICAGO
STATE: IL
ZIP: 60602
BUSINESS PHONE: 3126301900
MAIL ADDRESS:
STREET 1: 30 NORTH LASALLE STREET
STREET 2: STE 4000
CITY: CHICAGO
STATE: IL
ZIP: 60602
4
1
wf-form4_162154128174916.xml
FORM 4
X0306
4
2021-05-19
0
0001051512
TELEPHONE & DATA SYSTEMS INC /DE/
TDS
0000901731
CARLSON LEROY T JR
30 N. LASALLE ST., STE. 4000
CHICAGO
IL
60602
1
1
0
0
President and CEO
Common Shares
2021-03-20
5
G
0
E
3307
0
D
74610
D
Common Shares
2021-03-26
5
G
0
E
11500
0
D
63110
D
Common Shares
2021-04-13
5
G
0
E
12000
0
D
51110
D
Common Shares
2021-05-15
5
G
0
E
11000
0
D
40110
D
Common Shares
2021-03-08
5
G
0
E
251993
0
D
1874514
I
By Voting Trust
Option (Right to Buy)
25.36
2021-05-19
4
A
0
104390
0
A
2024-05-19
2031-05-19
Common Shares
104390.0
104390
D
Restricted Stock Units
2021-05-19
4
A
0
136827
A
Common Shares
136827.0
136827
D
Series A Common Shares
2021-03-08
5
G
0
E
9218
0
D
Common Shares
9218.0
2042841
I
By Voting Trust
Includes 3768 shares owned by children. Reporting person disclaims beneficial ownership of shares owned by children.
On March 8, 2021 the reporting person's spouse individually transferred 162,314 Common Shares and 89,679 Common Shares from her Marital Trust to a trust, the trustee of which is a family member. The reporting person previous reported all securities held by spouse and spouse's Marital Trust. Accordingly, the transfer did not result in the change in the number of securities reported as beneficially owned by reporting person.
Reporting person is one of four trustees which is record owner of these shares and files its holdings on forms 4. Of these Common shares, shares are held by respective reporting person and his family members.
Options granted pursuant to the 2020 Long-Term Incentive Plan. Options become exercisable on May 19, 2024.
Restricted stock unit award pursuant to the 2020 Long Term Incentive Plan. Stock units will become vested on third anniversary.
Series A Common shares are convertible, on a share-for-share basis, into common shares.
Reporting person is one of four trustees which is record owner of these shares and files its holdings on forms 4. Of these Series A Common Shares, shares are held by respective reporting person and his family members.
On March 8, 2021, the reporting person's spouse individually transferred 9,218 Series A common Shares to a trust, the trustee of which is a family member. The reporting person previously reported all securities held by spouse. Accordingly, the transfer did not result in the change in the number of securities reported as beneficially owned by reporting person.
Julie D. Mathews, by power of atty
2021-05-20