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*
Schreiber Philippe SE

(Last) (First) (Middle)
1099 18TH STREET
SUITE 2300

(Street)
DENVER CO 80202

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BILL BARRETT CORP [ BBG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/09/2004
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 10/21/2004 M 4,293(1) A $0.41 4,293(1) D
Common Stock 10/27/2004 M 2,147(1) A $0.41 6,440(1) D
Common Stock 12/09/2004 P 500(1)(2) A $25 6,940(1)(2) I By Spouse
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 $0.41(3) 10/21/2004 M 4,293(3) (4) 09/10/2012 Common Stock 10,735(3) $0 6,442(3) D
Options: Right to buy $0.41(3) 10/27/2004 M 2,147(3) (4) 09/10/2012 Common Stock 10,735(3) $0 4,295(3) D
Options: Right to buy $30.28(3)(5) (5) 09/10/2012 Common Stock 21,469(3)(5) 21,469(3)(5) D
Explanation of Responses:
1. The number of shares gives effect to the anticipated 1-for 4.658 reverse stock split to be undertaken in connection with the Issuer's pending initial public offering.
2. Acquired by the Reporting Person's spouse.
3. The exercise price and number of shares gives effect to the anticipated 1-for 4.658 reverse stock split to be undertaken in connection with the Issuer's pending initial public offering.
4. 2,147 of these options are exercisable on each of September 10, 2005 and 2006.
5. 20% of these options became exercisable on each of September 10, 2002, 2003 and 2004 and an additional 20% become exercisable on each of September 10, 2005 and 2006. The number of shares underlying these options, which are referred to as "Tranche A Options", and the exercise price of these Tranche A Options give effect to the anticipated reverse stock split to be undertaken in connection with the Issuer's pending initial public offering. In addition, the Reporting Person has elected to have these options modified upon the completion of the Issuer's pending initial public offering to provide that each option to purchase one share of common stock for $30.28 per share would become an option to purchase approximately 0.926 shares of common stock at the initial public offering price of $25.00. The modified options will expire seven years after the consummation of the initial public offering.
Remarks:
Table II does not include 60,000 shares of the Issuer's Series A Preferred Stock beneficially owned by the Reporting Person held by the Reporting Person's spouse. Upon the closing of the Issuer's pending initial public offering, these shares of Series A Preferred Stock will convert automatically into approximately 23,585 shares of common stock indirectly owned by the Reporting Person.
/s/Francis B. Barron, as Attorney-in-Fact 12/10/2004
** 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.