SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ROSCITT RICHARD R

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ADC TELECOMMUNICATIONS INC [ ADCT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CHIEF EXECUTIVE OFFICER
3. Date of Earliest Transaction (Month/Day/Year)
08/29/2003
4. 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 Acquired, Disposed of, or Beneficially Owned
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 08/29/2003 D 1,016,667 D $0(2) 237,066 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $2.26 08/29/2003 D(3) 44,247 (3) 11/27/2012 Common Stock 44,247 $0 0 D
Incentive Stock Option (right to buy) $4.37 08/29/2003 D(3) 22,883 10/31/2002(4) 11/01/2011 Common Stock 22,883 $0 45,766 D
Non-Qualified Stock Option (right to buy) $2.26 08/29/2003 D(3) 2,955,753 (3) 11/27/2012 Common Stock 2,955,753 $0 0 D
Non-Qualified Stock Option (right to buy) $4.37 08/29/2003 D(3) 626,847 10/31/2002(4) 11/01/2011 Common Stock 626,847 $0 863,802 D
Non-Qualified Stock Option (right to buy) $4.68 08/29/2003 D(3) 269,930 10/31/2002(5) 01/02/2012 Common Stock 269,930 $0 377,880 D
Non-Qualified Stock Option (right to buy) $11.125 08/29/2003 D(3) 502,559 02/28/2002(6) 02/28/2011 Common Stock 502,559 $0 1,005,118 D
Non-Qualified Stock Option (right to buy) $13.35 08/29/2003 D(3) 311,009 (3) 02/28/2008 Common Stock 311,009 $0 0 D
Non-Qualified Stock Option (right to buy) $15.0188 08/29/2003 D(3) 311,008 (3) 02/28/2008 Common Stock 311,008 $0 0 D
Non-Qualified Stock Option (right to buy)(7) $16.1313 08/29/2003 D(3) 311,008 (3) 02/28/2008 Common Stock 311,008 $0 0 D
Explanation of Responses:
1. The reporting person also indirectly beneficially owns 2,669 shares of ADC Telecommunications, Inc. common stock through the ADC Telecommunications, Inc. Retirement Savings Plan (401k); and 30,557 shares through the Global Employee Stock Purchase Plan. Subsequent to reporting officer's acquisition of shares under the GESPP, 11,025 shares have been transferred to reporting officer's individual brokerage account. The information herein is based on a plan statement dated as of 7/3/03.
2. Unvested shares of restricted stock forfeited in connection with employment termination.
3. Cancellation of options in connection with employment termination.
4. Grant date 11/1/01; currently 100% exercisable. Reporting officer has one year from August 29, 2003, to exercise remaining options.
5. Grant date 1/2/02; currently 100% exercisable. Reporting officer has one year from August 29, 2003, to exercise remaining options.
6. Grant date 2/28/01; currently 100% exercisable. Reporting officer has one year from August 29, 2003, to exercise remaining options.
7. The reporting person also indirectly owns 14,963 phantom stock units which were accrued under the registrant's 401(k) Excess Plan and are to be settled in cash upon reporting person's retirement; conversion rate = One-for-One. The information herein is based on a statement dated as of 7/3/03.
Richard R. Roscitt 08/29/2003
** 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.