5 1 g66918lbe5.txt RAILAMERICA INC./LARRY W. BUSH 1 ------ FORM 5 ------ [ ] Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION longer subject to Washington, DC 20549 Section 16. Form 4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP obligations may continue. See Filed pursuant to Section 16(a) of the Securities Instruction 1(b). Exchange Act of 1934, [ ] Form 3 Holdings Section 17(a) of the Public Utility Reported Holding Company Act of 1935 or Section 30(f) of [ ] Form 4 the Investment Company Act Transactions of 1940 Reported ------------------------------------------------------------------------------------------------------------------------------------ | 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person to | | Bush Larry W. | RailAmerica, Inc. (Nasdaq: RAIL) | Issuer (Check all applicable) | |--------------------------------------------|---------------------------------------------| | | (Last) (First) (Middle) | 3. IRS Identification |4. Statement For | [ ] Director [ ] 10% Owner | | | Number of Reporting | Month/Year | | | 5300 Broken Sound Blvd., N.W. | Person, if an Entity | February 2001 | [X] Officer (give [ ] Other (specify| |--------------------------------------------| (Voluntary) |-------------------| title below) below) | | (Street) | |5. If Amendment, | Vice President and | | | | Date of Original| Corporate Controller | | | | (Month/Year | | | | | |---------------------------------------| | Boca Raton Florida 33487 | | |7. Individual or Joint/Group Filing | |--------------------------------------------|---------------------------------------------| (Check applicable line) | | (City) (State) (Zip) | | [X] Form Filed by one | | | | Reporting Person | | | | [ ] Form Filed by more than | | | | one Reporting Person | |----------------------------------------------------------------------------------------------------------------------------------| | TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED | |----------------------------------------------------------------------------------------------------------------------------------| | 1. Title of Security | 2. Trans- | 3. Transac- |4. Securities Acquired (A)|5. Amount of Se- |6. Owner- |7. Nature | | (Instr. 3) | action | tion | or Disposed of (D) | curities Benefi-| ship | of In- | | | Date | Code | (Instr. 3, 4 and 5) | cially Owned at | Form: | direct | | | | (Instr. | | End of Issuer's | Direct | Benefi-| | | (Month/ | 8) | | Fiscal Year | (D) or | cial | | | Day/ | |--------------------------| (Instr. 3 and 4)| Indirect | Owner- | | | Year) | | Amount | (A) or | Price | | (I) | ship | | | | | | (D) | | | (Instr. 4)| (Instr.| | | | | | | | | | 4) | | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | Common Stock, | -- | -- | -- | -- | -- | 200 | D | -- | | par value $.001 | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | |--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------| | | | | | | | | | | ----------------------------------------------------------------------------------------------------------------------------------- * If the form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses)
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FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ | 1. Title of Derivative| 2. Conver- | 3. Trans- | 4. Trans- | 5. Number of | 6. Date Exer- |7. Title and Amount| 8. Price | | Security | sion or | action | action | Derivative | cisable and | of Underlying | of | | (Instr. 3) | Exercise| Date | Code | Securities | Expiration | Securities | Deriv- | | | Price of| (Month/| (Instr.| Acquired (A)| Date | (Instr. 3 and 4)| ative | | | Deriv- | Day/ | 8) | or Disposed | (Month/Day/ | | Secur- | | | ative | Year) | | of (D) | Year) | | ity | | | Security| | | (Instr. 3, | | | (Instr. 5)| | | | | | 4, and 5) |-----------------|-------------------| | | | | | | | Date |Expira- | | Amount or | | | | | | |----------------| Exer- |tion |Title | Number of | | | | | | | (A) | (D) | cisable|Date | | Shares | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1995 Stock Incentive | $3.625 | 1/1/96 | A | 5,000| -- | 1/1/96 | 1/1/06 |Common| 5,000 | -- | |Plan | | | | | | | |Stock,| | | |(Right to buy) | | | | | | | |$.001 | | | | | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1995 Stock Incentive | $5.00 | 7/1/97 | A | 10,000| -- | 7/1/97 | 1/1/07 |Common| 10,000 | -- | |Plan | | | | | | | |Stock,| | | |(Right to buy) | | | | | | | |$.001 | | | | | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1998 Executive | $6.125 | 6/30/98 | A | 8,000| -- |6/30/99 |6/30/08 |Common| 8,000 | -- | |Incentive Compensation | | | | | | (1) | |Stock,| | | |Plan | | | | | | | |$.001 | | | |(Right to buy) | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1998 Executive | $8.75 | 4/8/99 | A | 8,000| -- | 4/8/00 | 4/8/09 |Common| 8,000 | -- | |Incentive Compensation | | | | | | (2) | |Stock,| | | |Plan | | | | | | | |$.001 | | | |(Right to buy) | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1998 Executive | $9.00 | 1/1/00 | A | 15,000| -- | 1/1/00 | 1/1/10 |Common| 15,000 | -- | |Incentive Compensation | | | | | | (3) | |Stock,| | | |Plan | | | | | | | |$.001 | | | |(Right to buy) | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| |1998 Executive | $6.50 | 8/30/00 | A | 11,875| -- |8/30/00 |8/30/10 |Common| 11,875 | -- | |Incentive Compensation | | | | | | (4) | |Stock,| | | |Plan | | | | | | | |$.001 | | | |(Right to buy) | | | | | | | | par | | | | | | | | | | | |value | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| | | | | | | | | | | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| | | | | | | | | | | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| | | | | | | | | | | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| | | | | | | | | | | | | |-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------| | | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------ | 9. Number of | 10. Ownership | 11. Nature of | | Derivative | of Derivative | Indirect | | Securities | Security: | Beneficial | | Beneficially | Direct (D) | Ownership | | Owned at End | or Indirect (I) | (Instr. 4) | | of Year | (Instr. 4) | | | (Instr. 4) | | | | | | | |--------------------|--------------------------|----------------------| | -- | D | -- | |--------------------|--------------------------|----------------------| | -- | D | -- | |--------------------|--------------------------|----------------------| | -- | D | -- | |--------------------|--------------------------|----------------------| | -- | D | -- | |--------------------|--------------------------|----------------------| | 57,875 | D | -- | ------------------------------------------------------------------------ Explanation of Responses: (1) Thirty-three and one-third percent (33-1/3%) of such options became exercisable on each of June 30, 1999 and June 30, 2000 and an additional thirty-three and one-third percent (33-1/3%) will become exercisable on June 30, 2001. (2) Thirty-three and one-third percent (33-1/3%) of such options became exercisable on April 8, 2000 and an additional thirty-three and one-third percent (33-1/3%) will become exercisable on each of April 8, 2001 and April 8, 2002. (3) Thirty-three and one-third percent (33-1/3%) of such options became exercisable on each of January 1, 2000 and January 1, 2001 and an additional thirty-three and one-third percent (33-1/3%) will become exercisable on January 1, 2002. (4) Thirty-three and one-third percent (33-1/3%) of such options became exercisable on August 30, 2000 and an additional thirty-three and one-third percent (33-1/3%) will become exercisable on each of August 30, 2001 and August 30, 2002. ** Intentional misstatements or omissions of facts constitute Federal Criminal /s/ Larry W. Bush 02/11/01 Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ---------------------------------- ---------- Signature of Reporting Person** Date Larry W. Bush Note. File three copies of this form, one of which must be manually signed. Page 2 If space provided is insufficient, see Instruction 6 for procedure.