-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Jj6tYaJv0/PgB9gzUXbNPq1VlPsBRjimPWcSJxfS+om2m/Pa0ILS5cZvsZWZDE1b u/N9J2w2LnKtfniNNmaPew== 0001209191-04-044770.txt : 20040916 0001209191-04-044770.hdr.sgml : 20040916 20040916165016 ACCESSION NUMBER: 0001209191-04-044770 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040915 FILED AS OF DATE: 20040916 DATE AS OF CHANGE: 20040916 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONEYGRAM INTERNATIONAL INC CENTRAL INDEX KEY: 0001273931 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 161690064 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1550 UTICA AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 9525913000 MAIL ADDRESS: STREET 1: 1550 UTICA AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOHANNON ROBERT H CENTRAL INDEX KEY: 0001195019 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31950 FILM NUMBER: 041034134 BUSINESS ADDRESS: STREET 1: 1850 NORTH CENTRAL AVENUE CITY: PHOENIX STATE: AZ ZIP: 85004 BUSINESS PHONE: 6022075151 MAIL ADDRESS: STREET 1: 1850 NORTH CENTRAL AVENUE CITY: PHOENIX STATE: AZ ZIP: 85004 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-09-15 0 0001273931 MONEYGRAM INTERNATIONAL INC MGI 0001195019 BOHANNON ROBERT H 1850 NORTH CENTRAL AVE PHOENIX AZ 85077 1 0 0 0 Common Stock 2004-09-15 4 M 0 15324 9.9369 A 556990.878 D Common Stock 2004-09-15 4 F 0 8917 17.075 D 548073.878 D Common Stock 2004-09-15 4 G 0 15324 0.00 D 532749.878 D Common Stock 2004-09-15 4 G 0 15324 0.00 A 36865 I By Family Trust Stock Options (right to buy) 9.9369 2004-09-15 4 M 0 15324 0.00 D 1997-08-17 2005-08-16 Common Stock 15324 11025 D In a spin-off effective on June 30, 2004, Viad Corp ("Viad") distributed to its stockholders the shares of MoneyGram International, Inc. ("MGI"). At the time of the spin-off, holders of Viad stock received one share of MGI stock for each Viad share held on the record date of June 24, 2004. All outstanding options to purchase Viad common stock were adjusted to consist of options to purchase Viad common stock and MGI common stock. The transaction reported herein is the exercise of an option that was granted to the reporting person by Viad and was adjusted in the spin-off to consist of an option to purchase Viad common stock and an option to purchase MGI common stock. Delivered 8917 shares and $15.28 in cash for payment of exercise price. Claudia Saavedra for Robert H. Bohannon 2004-09-16 -----END PRIVACY-ENHANCED MESSAGE-----