0001120437-22-000010.txt : 20220118 0001120437-22-000010.hdr.sgml : 20220118 20220118103733 ACCESSION NUMBER: 0001120437-22-000010 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220118 DATE AS OF CHANGE: 20220118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON LEROY T JR CENTRAL INDEX KEY: 0000901731 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14157 FILM NUMBER: 22534084 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 5 1 wf-form5_164252023777426.xml FORM 5 X0306 5 2021-12-31 0 0 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 2021-05-22 5 G 0 16000 0 D 57351 D Common Shares 2021-05-29 5 G 0 2000 0 D 55351 D Common Shares 2021-09-09 5 G 0 5005 0 D 50346 D Common Shares 2021-12-03 5 G 0 853 0 D 49493 D Common Shares 2021-12-30 5 G 0 1474 0 D 49894 D Common Shares 211758 I By trust Common 78943 I By Trust Common Shares 518 I By wife Common Shares 22279 I By 401K Common Shares 1880554 I By Voting Trust Option (Right to Buy) 20.79 2022-05-16 Common Shares 309200.0 309200 D Option (Right to Buy) 22.6 2023-05-10 Common Shares 186000.0 186000 D Option (Right to Buy) 26.83 2024-05-16 Common Shares 225000.0 225000 D Option (Right to Buy) 29.26 2025-05-11 Common Shares 236100.0 236100 D Option (Right to Buy) 29.45 2026-08-15 Common Shares 53800.0 53800 D Option (Right to Buy) 27.79 2027-05-24 Common Shares 39700.0 39700 D Option (Right to Buy) 25.7 2028-05-22 Common Shares 18320.0 18320 D Option (Rigft to Buy) 30.72 2029-05-22 Common Shares 33624.0 33624 D Option (Right to Buy) 19.15 2030-05-21 Common Shares 77100.0 77100 D Option (Rigft to Buy) 25.36 2031-05-19 Common 104390.0 104390 D Restricted Stock Units 2022-05-22 Common Shares 60630.0 60630 D Restricted Stock Units 2023-05-21 Common 82507.0 82507 D Restricted Stock Units 2024-05-24 Common 136827.0 136827 D Series A Common Shares Common Shares 2049580.0 2049580 I By Voting Trust Deferred Compensation Common Shares 73339.0 73339 D Series A Common Shares Common Shares 11142.0 11142 I By Trust Series A Common Shares Common Shares 11424.0 11424 I By Trust Series A Common Shares Common Shares 297.0 297 I By Wife Includes 3768 Common Shares owned by children. Reporting person disclaims beneficial ownership of shares owned by children. Includes 5242 Common Shares owned by children. Reporting person disclaims beneficial ownership of shares owned by children. Voluntary report of shares held in trust, the trustee of which is a third party and beneficiaries include the spouse and descendants Voluntary reporting of shares in TDS 401K. The information is based on a plan statement dated 12/31/21. The number of shares fluctuates and is attributable to the price of the shares on 12/31/21. Reporting person is one of four trustees which is record owner of these shares which files its holdings on forms 4. The shares reported are held by respective reporting person and his family members that have a pecuniary interest in such securities. Includes 690,604 Common Shares held by a family partnership of which reporting person is a general partner. On August 12, 201 the reporting person's spouse's GRAT transferred voting trust certificates representing 77,716 to the spouse individually. The reporting person previously reported all securities held by spouse and spouse's GRAT. Accordingly the transfer did not result in the change in the number of securities reported as beneficially owned by reporting person. Granted under the 2011 Long Term Incentive Plan. Options vest over a 3 year period with one-third becoming exercisable on the first anniversary, one-third on the second anniversary and one-third becoming exercisable on the third anniversary. Restricted stock unit award pursuant to the 2011 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 which files its holdings on forms 4. The shares reported are held by respective reporting person and his family members that have a pecuniary interest in such securities. Includes 752,615 Series A Common Shares held by a family partnership of which reporting person is a general partner. Reporting person deferred bonuses pursuant to the TDS Long Term Incentive Plans. Employer matches vest ratably at a rate of 33%, 33%, 34% over three years. A total of 70,384 common shares units were vested at 12/31/21. Julie D. Mathews, by power of atty 2022-01-18