0001359804-12-000084.txt : 20121203 0001359804-12-000084.hdr.sgml : 20121203 20121203170540 ACCESSION NUMBER: 0001359804-12-000084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121129 FILED AS OF DATE: 20121203 DATE AS OF CHANGE: 20121203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blackburn Jeffrey M CENTRAL INDEX KEY: 0001374831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22513 FILM NUMBER: 121238152 MAIL ADDRESS: STREET 1: PO BOX 81226 CITY: SEATTLE STATE: WA ZIP: 98108-1226 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMAZON COM INC CENTRAL INDEX KEY: 0001018724 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 911646860 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 410 TERRY AVENUE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 2062661000 MAIL ADDRESS: STREET 1: 410 TERRY AVENUE NORTH CITY: SEATTLE STATE: WA ZIP: 98109 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-11-29 0001018724 AMAZON COM INC AMZN 0001374831 Blackburn Jeffrey M P.O. BOX 81226 SEATTLE WA 98108-1226 0 1 0 0 Senior Vice President Common Stock, par value $.01 per share 2012-11-29 5 G 0 20000 0 D 47225 D Common Stock, par value $.01 per share 2012-11-29 5 G 0 20000 0 A 20000 I In trust Common Stock, par value $.01 per share 442.462 I Held by the reporting person's Amazon.com 401(k) plan account Gift to trust. /s/Jeffrey M. Blackburn, Senior Vice President 2012-11-29