SEC Form 5
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*
Mayer Michel

(Last) (First) (Middle)
C/O FREESCALE SEMICONDUCTOR, INC.
6501 WILLIAM CANNON DRIVE WEST

(Street)
AUSTIN TX 78735

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FREESCALE SEMICONDUCTOR INC [ FSL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman of the Board & CEO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2004
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 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
Freescale Semiconductor, Inc. Class B Common Stock(1)(2)(3) 12/03/2004 J 16.5623 A $0.00 16.5623 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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. On November 9, 2004, Motorola, Inc. ("Motorola") issued a press release announcing that Motorola would distribute its remaining equity interest in Issuer on December 2, 2004 to Motorola shareholders of record on November 26, 2004 (the "Record Date"). On December 2, 2004, Motorola distributed .110415 of a share of Issuer's Class B Common Stock for each outstanding share of Motorola common stock owned by Motorola shareholders on the Record Date. Motorola delivered cash in lieu of fractional share interests to Motorola shareholders entitled to receive less than one share of Issuer's Class B Common Stock. Effective with the distribution, Motorola is no longer a controlling stockholder of the Company. Exchange Act Rule 16a-9(a) exempts the receipt of the shares acquired via the distribution.
2. Reporting Person is filing this Form 5 to report the acquisition of Freescale Semiconductor, Inc. Class B Common Stock following the previously described Motorola dividend distribution. The acquisition of these shares was an exempt transaction under Exchange Act Rule 16a-9(a).
3. Freescale Semiconductor, Inc. Class B Common Stock is traded on the New York Stock Exchange under the trading symbol "FSL.B".
/s/ Michel Mayer by Susan Wittliff under Power of Attorney 02/14/2005
** 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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