SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Lane Andrew R

(Last) (First) (Middle)
4100 CLINTON DRIVE

(Street)
HOUSTON TX 77020

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/23/2004
3. Issuer Name and Ticker or Trading Symbol
HALLIBURTON CO [ HAL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Pres. & CEO - KBR
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 36,706 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option to Buy Common Stock(1) 06/02/1998(2) 06/02/2008 Common Stock 2,000 $44.9375 D
Option to Buy Common Stock(1) 02/17/1999(2) 02/17/2009 Common Stock 4,500 $20.0625 D
Option to Buy Common Stock(1) 12/02/1999(2) 12/02/2009 Common Stock 9,000 $39.5 D
Option to Buy Common Stock(1) 12/06/2000(2) 12/06/2000 Common Stock 10,500 $34.75 D
Option to Buy Common Stock(1) 07/19/2001(3) 07/19/2011 Common Stock 5,175 $31.55 D
Option to Buy Common Stock(1) 03/16/2004(2) 03/16/2014 Common Stock 8,020 $28.86 D
Explanation of Responses:
1. Employee Stock Options to purchase common stock pursuant to the Halliburton Company 1993 Stock and Incentive Plan. Said Plan provides for the surrender of common stock to the issuer to satisfy withholding tax obligations.
2. The options granted become exercisable on each of the first, second and third aniversaries of the grant in cumulative increments of one-third each of the number of shares subject to the option.
3. The options granted have a four-year vesting period (25% per year).
Remarks:
Michael A. Weberpal, by Power of Attorney 07/26/2004
** 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 5 (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.