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
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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).
1. Name and Address of Reporting Person*
MILNE PHILIP W

(Last) (First) (Middle)
1550 UTICA AVE SO
SUITE 100

(Street)
MINNEAPOLIS MN 55416

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MONEYGRAM INTERNATIONAL INC [ MGI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
06/30/2004
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) 06/30/2004(1) (1) J(1) V 130,221 A(1) (1) 130,221(1) D
Common Stock(1) 06/30/2004(1) (1) J(1) V 8,800.1796 A(1) (1) 8,800.1796(1) I By 401(k)
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
Options (right to buy)(1) $9.3047 06/30/2004(1) (1) J(1) V 5,678 08/18/1996 08/17/2004 Common Stock 5,678 (1) 5,678(1) D
Options (right to buy)(1) $9.9369 06/30/2004(1) (1) J(1) V 390 08/17/1997 08/16/2005 Common Stock 390 (1) 390(1) D
Options (right to buy)(1) $10.5646 06/30/2004(1) (1) J(1) V 18,600 08/16/1998 08/15/2006 Common Stock 18,600 (1) 18,600(1) D
Options (right to buy)(1) $13.9671 06/30/2004(1) (1) J(1) V 18,000 08/21/1999 08/20/2007 Common Stock 18,000 (1) 18,000(1) D
Options (right to buy)(1) $18.8687 06/30/2004(1) (1) J(1) V 14,500 05/12/2000 05/11/2008 Common Stock 14,500 (1) 14,500(1) D
Options (right to buy)(1) $22.4616 06/30/2004(1) (1) J(1) V 16,000 05/11/2001 05/10/2009 Common Stock 16,000 (1) 16,000(1) D
Options (right to buy)(1) $18.6069 06/30/2004(1) (1) J(1) V 25,000 02/18/2002 02/17/2010 Common Stock 25,000 (1) 25,000(1) D
Options (right to buy)(1) $19.1875 06/30/2004(1) (1) J(1) V 44,700 02/16/2003 02/15/2011 Common Stock 44,700 (1) 44,700(1) D
Options (right to buy)(1) $15.6774 06/30/2004(1) (1) J(1) V 60,000 11/16/2003 11/15/2011 Common Stock 60,000 (1) 60,000(1) D
Options (right to buy)(1) $20.7979 06/30/2004(1) (1) J(1) V 45,700 03/27/2004 03/26/2012 Common Stock 45,700 (1) 45,700(1) D
Options (right to buy)(1) $15.6165 06/30/2004(1) (1) J(1) V 45,700 (2) 02/19/2013 Common Stock 45,700 (1) 45,700(1) D
Options (right to buy)(1) $19.3208 06/30/2004(1) (1) J(1) V 36,600 (3) 02/18/2011 Common Stock 36,600 (1) 36,600(1) D
Stock Units(1)(4) (1)(4) 06/30/2004(1)(4) (1)(4) J(1)(4) V 13,277.5573 (1)(4) (1)(4) Common Stock (1)(4) (1)(4) 13,277.5573(1)(4) D
Explanation of Responses:
1. In a spin-off effective on June 30, 2004, Viad Corp ("Viad") distributed to its stockholders the shares of MoneyGram International, Inc. ("MGI"). At the time of the spin-off, holders of Viad stock received one share of MGI stock for each Viad share held on the record date of June 24, 2004. In addition, (a) all outstanding options to purchase Viad common stock were adjusted to consist of options to purchase Viad common stock and MGI common stock; (b) holders of stock units under deferred compensation plans of Viad received one MGI stock unit for each Viad stock unit held on the record date; and (c) holders of Viad restricted stock received one share of MGI restricted stock for each Viad share of restricted stock held on the record date. The securities ownership of the reporting person listed herein consists of the securities of MGI held immediately following the spin-off as a result of the spin-off distribution. The transaction is exempt pursuant to Rule 16a-9(a).
2. The option vests in three equal installments beginning on February 20, 2004.
3. The option vests in five equal installments beginning on February 19, 2005.
4. Stock units held pursuant to Viad Corp Deferred Compensation Plan.
Remarks:
Claudia Saavedra for Philip W. Milne 07/12/2004
** 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).
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