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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
TELEPHONE & DATA SYSTEMS INC /DE/ [ TDS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 | |||||||||||||
Common Shares | 12/31/2003 | J(1) | 1.11 | A | (1) | 86.98(2) | D | ||||||||
Common Shares | 12/31/2003 | J(1) | 14.46 | A | (1) | 1,134.76(3) | I | By Wife | |||||||
Common Shares | 12/31/2003 | J(4) | 447.96 | A | (4) | 7,267.85 | I | By 401K plan |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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 | |||||||||
Series A Common Shares | (5) | 12/31/2003 | J(1) | 6,535.78 | (5) | (5) | Common Shares | 1,807,275.71 | (5) | 1,807,275.71(6) | I | By Voting Trust | ||
Series A Common Shares | (5) | 11/26/2003 | G | 175 | (5) | (5) | Common Shares | 1,807,275.71 | (5) | 1,807,275.71(6) | I | By Voting Trust | ||
Series A Common Shares | (5) | 12/31/2003 | J(1) | 158.01 | (5) | (5) | Common Shares | 12,398.92 | (5) | 12,398.92(12) | D | |||
Series A Common Shares | (5) | 12/31/2003 | J(1) | 65.98 | (5) | (5) | Common Shares | 5,177.06 | (5) | 5,177.06(7) | I | By Wife | ||
Deferred Compensation | (8) | 12/31/2003 | J(1) | 83.83 | (8) | (8) | Common Shares | 11,968.163 | (8) | 11,968.163 | D | |||
Option (Right to Buy)(9) | $38.12 | 12/15/1995 | 12/15/2005 | Common Shares | 13,114 | 13,114 | D | |||||||
Option (Right to Buy)(9) | $47.6 | 12/15/1996 | 12/15/2006 | Common Shares | 13,233 | 13,233 | D | |||||||
Option (Right to Buy)(9) | $43.88 | 12/15/1997 | 12/15/2007 | Common Shares | 11,770 | 11,770 | D | |||||||
Option (right to Buy)(9) | $39.75 | 12/15/1998 | 06/22/2008 | Common Shares | 27,300 | 27,300 | D | |||||||
Option (Right to Buy) | $43.75 | (10) | 11/05/2007 | Common Shares | 54,600 | 54,600 | D | |||||||
Option (Right to Buy)(9) | $66.75 | 12/15/1999 | 04/30/2009 | Common Shares | 27,850 | 27,850 | D | |||||||
Option (Right to Buy)(9) | $105.13 | 12/15/2000 | 05/05/2010 | Common Shares | 32,000 | 32,000 | D | |||||||
Option (Right to Buy) | $121.12 | (11) | 09/16/2010 | Common Shares | 56,720 | 56,720 | D | |||||||
Option (Right to Buy)(9) | $99.44 | 12/15/2001 | 04/30/2011 | Common Shares | 29,429 | 29,429 | D | |||||||
Option (Right to Buy)(9) | $60.2 | 12/15/2002 | 08/19/2012 | Common Shares | 68,215 | 68,215 | D | |||||||
Option (Right to Buy)(9) | $52.92 | 12/15/2003 | 12/15/2013 | Common Shares | 65,567 | 65,567 | D |
Explanation of Responses: |
1. Voluntary reporting of shares acquired through dividend reinvestment in 2003. |
2. Includes 43.98 shares acquired pursuant to a dividend reinvestment plan. |
3. Reporting person denies beneficial ownership of these shares. Includes 92.76 shares acquired pursuant to a dividend reinvestment plan. |
4. Voluntary reporting of shares acquired in 2003 in the TDS 401k plan. The information is based on a plan statement dated 12/31/03. The number of shares fluctuates and is attributed to the price of the shares on 12/31/03. |
5. Series A common shares are convertible on a share for share basis into common. |
6. Reporting person is one of four trustees of a Voting Trust which is record owner of these shares and which files its holdings on forms 4. Of these shares, 82,207.01 (including 14741.01 acquired in dividend reinvestment) are held as custodian for children and 8905.98 (including 948.98 shares acquired pursuant to a dividend reinvestment) are held by spouse. 862,693 are owned by a family limited partnership and 678,275.71 (including 8278.79 shares accquired pursuant to a dividend reinvestment plan) shares are hld by family partnerhsip of which reporting person is a gernal partner. Of the remaining, 2923.93 were earned pursuant to a dividend reinvestment plan. Reporting person disclaims beneficial ownership of shares owned by wife and as custodian for children. |
7. Includes 167.06 shares earned pursuant to a dividend reinvestment plan. |
8. Reporting person deferred 1998 bonus pursuant to the TDS 1998 Long Term Incentive Plan. The deferred bonus was 2284.36 shares and the employer match was 662.46 shares which vests ratably at a rate of 33%, 33%, 34% on 12/31/99, 12/31/00 and 12/31/01. Reporting person deferred 2000 bonus and received 2773.16 shares in deferred bonus and 804.22 shares in employer match which vests ratably at 33%,33% and 34% on 12/31/01, 12/31/02, and 12/31/03. Reporting person deferred 2002 bonus and received 4204.450 shares in deferred bonus and 1051.114 in employer match wich vests ratably at 33%, 33% and 34% in 12/31/03, 12/31/04, and 12/31/05. In prior years, reporting person had accumulated 104.569 in dividend reinvestment shares including the 2003 dividend reinvestment the reporting person now has 188.4 shares in dividend reinvestment. |
9. Granted under the TDS Long Term Incentive Plan. |
10. Granted under the TDS 1998 Long Term Incentive Plan. The option is exercisable with respect to 18,200 common shares on 12/15/98, 12/15/99 and on 12/15/00 for a total of 54,600. |
11. Granted under the TDS 1998 Long Term Incentive Plan. The option is exercisable with respect to 14,180 common shares on 12/15/01, 12/15/02, 12/15/03 and 12/15/04 for a total of 56,720 common shares. |
12. Includes 6898.92 Series A common shares acquired pursuant to a dividend reinvestment plan. |
Julie D. Mathews, by power of atty | 01/20/2004 | |
** 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. |