FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
HARTFORD FINANCIAL SERVICES GROUP INC/DE [ HIG ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 11/07/2003 | G | 106 | D | $56.14 | 201,919 | D | ||||||||
Common Stock | 12/17/2003 | G | 375 | D | $56.99 | 201,919 | D | ||||||||
Common Stock | 12/17/2003 | G | 375 | D | $56.99 | 201,919 | D | ||||||||
Common Stock | 16,900 | I | Limited Liability Company(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Option | $21.61 | (2) | 05/11/2005 | Common Stock | 25,822 | 25,822 | D | |||||||
Stock Option | $26 | (3) | 02/16/2006 | Common Stock | 74,400 | 74,400 | D | |||||||
Stock Option | $36.125 | (4) | 01/26/2007 | Common Stock | 94,340 | 94,340 | D | |||||||
Stock Option | $44.47 | (5) | 12/17/2007 | Common Stock | 260,000 | 260,000 | D | |||||||
Stock Option | $46.315 | (6) | 02/21/2008 | Common Stock | 112,140 | 112,140 | D | |||||||
Stock Option | $45.5 | (7) | 10/14/2008 | Common Stock | 114,021 | 114,021 | D | |||||||
Stock Option | $51 | (8) | 02/18/2009 | Common Stock | 165,675 | 165,675 | D | |||||||
Stock Option | $34 | (9) | 02/18/2010 | Common Stock | 408,497 | 408,497 | D | |||||||
Stock Option | $62.07 | (10) | 02/23/2011 | Common Stock | 222,046 | 222,046 | D | |||||||
Stock Option | $65.85 | (11) | 02/23/2012 | Common Stock | 201,556 | 201,556 | D | |||||||
Stock Option | $37.37 | (12) | 02/22/2013 | Common Stock | 171,465 | 171,465 | D |
Explanation of Responses: |
1. Shares of Common Stock held by a Limited Liability Company of which Mr. Ayer and his spouse are the co-managing members. |
2. The option became fully exercisable on May 9, 1998, the third anniversary of the grant date. |
3. The option became fully exercisable on February 14, 1999, the third anniversary of the grant date. |
4. The option became fully exercisable on January 24, 2000, the third anniversary of the grant date. |
5. The option became fully exercisable on March 1, 2001, following the achievement of the following criteria: prior to March 1, 2001, the closing price of the Company's Common Stock on the New York Stock Exchange reached (i) $61.50 for 10 or more consecutive trading days, (ii) $63.00 for 10 or more consecutive trading days, and (iii) $65.00 for 10 or more consecutive trading days. |
6. The option became fully exercisable on February 19, 2001, the third anniversary of the grant date. |
7. The option became fully exercisable as of April 15, 1999, following the achievement of the following criteria: the closing price of the Company's Common Stock on the New York Stock Exchange reached 125% of the grant price for at least 10 consecutive trading days. |
8. The option became fully exercisable as of August 16, 2000, following the achievement of the following criteria: the closing price of the Company's Common Stock on the New York Stock Exchange reached 125% of the grant price for at least 10 consecutive trading days. |
9. The option became fully exercisable as of April 11, 2000, following the achievement of the following criteria: the closing price of the Company's Common Stock on the New York Stock Exchange reached 125% of the grant price for at least 10 consecutive trading days. |
10. The option becomes fully exercisable upon the earlier of (i) February 21, 2008 (seven years from the grant date) and (ii) the closing price of the Company's Common Stock on the New York Stock Exchange reaches 125% of the grant price for at least 10 consecutive trading days. |
11. The option becomes fully exercisable upon the earlier of (i) February 21, 2009 (seven years from the grant date) and (ii) the closing price of the Company's Common Stock on the New York Stock Exchange reaches 125% of the grant price for at least 10 consecutive trading days. |
12. The option became fully exercisable on June 18, 2003, following the achievement of the following criteria: the closing price of the Company's Common Stock on the New York Stock Exchange reached 125% of the grant price for at least 10 consecutive trading days. |
Remarks: |
/s/ Amanda C. Grabowski Amanda C. Grabowski, POA for Ramani Ayer, by Power of Attorney of Ramani Ayer dated April 17, 2003 | 02/13/2004 | |
** 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 4 (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. |