SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Koehn Peter A

(Last) (First) (Middle)
IMATION CORP.
1 IMATION PLACE

(Street)
OAKDALE MN 55128

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/08/2004
3. Issuer Name and Ticker or Trading Symbol
IMATION CORP [ IMN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Controller
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 667 I 401(k) Plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 02/01/2004 01/31/2010 Common Stock 1,000 $30.6 D
Options 05/16/2004 05/15/2010 Common Stock 2,500 $29 D
Options(1) 02/08/2003 02/07/2012 Common Stock 4,000 $23.06 D
Options(1) 07/01/2003 06/30/2012 Common Stock 500 $28.99 D
Options(1) 05/09/2004 05/08/2013 Common Stock 5,000 $34.3 D
Options(1) 05/05/2005 05/05/2011 Common Stock 4,000 $39.87 D
Explanation of Responses:
1. Options vest 25% each year, this date is the first date any of the option is exercisable.
Jennifer A. Tenenbaum as Power of Attorney for Peter A. Koehn 09/16/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.