0001127602-11-029782.txt : 20111116 0001127602-11-029782.hdr.sgml : 20111116 20111116160100 ACCESSION NUMBER: 0001127602-11-029782 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111114 FILED AS OF DATE: 20111116 DATE AS OF CHANGE: 20111116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Buckminster Douglas E. CENTRAL INDEX KEY: 0001477675 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07657 FILM NUMBER: 111210098 MAIL ADDRESS: STREET 1: 200 VESEY STREET STREET 2: M/S 01-50-01 CITY: NEW YORK STATE: NY ZIP: 10285 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN EXPRESS CO CENTRAL INDEX KEY: 0000004962 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 134922250 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 VESEY STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10285 BUSINESS PHONE: 2126402000 MAIL ADDRESS: STREET 1: 200 VESEY STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10285 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2011-11-14 0000004962 AMERICAN EXPRESS CO AXP 0001477675 Buckminster Douglas E. BELGRAVE HOUSE 76 BUCKINGHAM PALACE ROAD LONDON 1 Pres, Int'l Consumer & SBS Common Stock 2011-11-14 4 M 0 39984 31.941 A 124578.612 D Common Stock 2011-11-14 4 F 0 31979 49.45 D 92599.612 D Common Stock 11815 I 401(k) Trust Employee Stock Option (Right to Buy) 31.941 2011-11-14 4 M 0 39984 0 D 2003-01-28 2012-01-27 Common Stock 39984 0 D The reported disposition represents the surrender of previously owned shares to satisfy the cost of exercise and the surrender of newly acquired shares to satisfy tax obligations arising from the exercise of employee stock options. Includes shares acquired pursuant to dividend reinvestment. Shares held in reporting person's account under the Company's Retirement Savings Plan. This plan uses unit accounting, and the number of shares that a participant is deemed to hold varies with the unit price of the Company pooled stock fund. These options became exercisable in three equal annual installments beginning on the date shown as "Date Exercisable." /s/ Michael G. Kuchs, attorney-in-fact 2011-11-16