0001104659-12-068739.txt : 20121011 0001104659-12-068739.hdr.sgml : 20121011 20121011172425 ACCESSION NUMBER: 0001104659-12-068739 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121010 FILED AS OF DATE: 20121011 DATE AS OF CHANGE: 20121011 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SIRIUS XM RADIO INC. CENTRAL INDEX KEY: 0000908937 STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832] IRS NUMBER: 521700207 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1221 AVENUE OF THE AMERICAS STREET 2: 36TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 BUSINESS PHONE: 212-584-5100 MAIL ADDRESS: STREET 1: 1221 AVENUE OF THE AMERICAS STREET 2: 36TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 FORMER COMPANY: FORMER CONFORMED NAME: SIRIUS SATELLITE RADIO INC DATE OF NAME CHANGE: 19991228 FORMER COMPANY: FORMER CONFORMED NAME: CD RADIO INC DATE OF NAME CHANGE: 19940203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Liberty Media Corp CENTRAL INDEX KEY: 0001507934 STANDARD INDUSTRIAL CLASSIFICATION: CABLE & OTHER PAY TELEVISION SERVICES [4841] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34295 FILM NUMBER: 121140533 BUSINESS ADDRESS: STREET 1: 12300 LIBERTY BOULEVARD CITY: ENGLEWOOD STATE: CO ZIP: 80112 BUSINESS PHONE: (720) 875-5400 MAIL ADDRESS: STREET 1: 12300 LIBERTY BOULEVARD CITY: ENGLEWOOD STATE: CO ZIP: 80112 FORMER NAME: FORMER CONFORMED NAME: Liberty CapStarz, Inc. DATE OF NAME CHANGE: 20110523 FORMER NAME: FORMER CONFORMED NAME: Liberty Splitco, Inc. DATE OF NAME CHANGE: 20101215 4 1 a4.xml 4 X0306 4 2012-10-10 0 0000908937 SIRIUS XM RADIO INC. SIRI 0001507934 Liberty Media Corp 12300 LIBERTY BOULEVARD ENGLEWOOD CO 80112 0 0 1 0 Common Stock 2012-10-10 4 J 1 41087753 A 1904291236 I Through Wholly Owned Subsidiary Forward purchase contract (obligation to buy) 2012-10-10 4 J 1 41087753 0 D 2012-10-10 2012-10-10 Common Stock 41087753 0 I Through Wholly Owned Subsidiary As previously disclosed, on June 30, 2012 a wholly owned subsidiary of the Reporting Person entered into a forward purchase contract (the "Forward Contract") with an unaffiliated counterparty covering up to a maximum of 220,000,000 notional shares of the Issuer's Common Stock. On August 10, 2012, the unaffiliated counterparty completed its initial hedge, and the number of notional shares of Common Stock covered by the Forward Contract was fixed at 41,087,753 shares. The Forward Contract expired on October 10, 2012 and will be physically settled on October 15, 2012. The base price under the Forward Contract is approximately $2.047 per share. LIBERTY MEDIA CORPORATION By: /s/ Craig Troyer, Vice President 2012-10-11