0001181431-12-059391.txt : 20121119 0001181431-12-059391.hdr.sgml : 20121119 20121119162221 ACCESSION NUMBER: 0001181431-12-059391 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121115 FILED AS OF DATE: 20121119 DATE AS OF CHANGE: 20121119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BASONE MICHAEL CENTRAL INDEX KEY: 0001086270 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16769 FILM NUMBER: 121214846 MAIL ADDRESS: STREET 1: C/O WEIGHT WATCHERS INTERNATIONAL, INC. STREET 2: 11 MADISON AVENUE, 17TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WEIGHT WATCHERS INTERNATIONAL INC CENTRAL INDEX KEY: 0000105319 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 116040273 STATE OF INCORPORATION: VA FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 11 MADISON AVENUE STREET 2: 17TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 BUSINESS PHONE: 2125892700 MAIL ADDRESS: STREET 1: 11 MADISON AVENUE STREET 2: 17TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 4 1 rrd360519.xml 2012-11-15 BASONE FORM 4 X0306 4 2012-11-15 0 0000105319 WEIGHT WATCHERS INTERNATIONAL INC WTW 0001086270 BASONE MICHAEL 11 MADISON AVE., 17TH FLOOR NEW YORK NY 10010 0 1 0 0 President, WW.com & CTO Common Stock 2012-11-15 4 M 0 24750 19.74 A 28690 D Common Stock 2012-11-15 4 S 0 28690 54.4506 D 0 D Non-Qualified Stock Option (right to buy) 56.36 2012-11-15 4 A 0 12063 0 A 2015-11-15 2022-11-15 Common Stock 12063 12063 D Restricted Stock Unit Award 0 2012-11-15 4 A 0 1236 0 A 2015-11-15 2015-11-15 Common Stock 1236 1236 D Non-Qualified Stock Option (right to buy) 19.74 2012-11-15 4 M 0 24750 0 D 2012-03-27 2019-03-27 Common Stock 24750 0 D This transaction was executed in multiple trades at prices ranging from $54.09 to $54.86. The price reported above reflects the weighted average sales price. The reporting person hereby undertakes to provide to the SEC staff, the issuer, or a security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range set forth above. Non-qualified stock options granted on November 15, 2012 will vest 100% on November 15, 2015. Each Restricted Stock Unit represents a contingent right to receive one share of common stock. Restricted Stock Units granted on November 15, 2012 will vest 100% on November 15, 2015. Non-qualified stock options for 24,750 shares were granted on March 27, 2009 and vested 100% on March 27, 2012. /s/ Stephanie Delavale, as Attorney-In-Fact for Michael Basone 2012-11-19