-----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, U1OIPx4pjFbB6kT4pJR8r2Jiv7ytS9dxp9DfZ4dVZX60p9xGsUKRjZJ4PQiN6tT9 KrlTkTANs5chz2+DoLh90A== 0001209191-04-035684.txt : 20040712 0001209191-04-035684.hdr.sgml : 20040712 20040712191513 ACCESSION NUMBER: 0001209191-04-035684 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040712 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONEYGRAM INTERNATIONAL INC CENTRAL INDEX KEY: 0001273931 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1550 UTICA AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 9525913000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dutra Mary A CENTRAL INDEX KEY: 0001293890 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31950 FILM NUMBER: 04910962 BUSINESS ADDRESS: BUSINESS PHONE: 952-591-3000 MAIL ADDRESS: STREET 1: 1550 UTICA AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55416 3 1 doc3.xml FORM 3 SUBMISSION X0202 3 2004-06-30 0 0001273931 MONEYGRAM INTERNATIONAL INC MGI 0001293890 Dutra Mary A 1550 UTICA AVENUE SOUTH SUITE 100 MINNEAPOLIS MN 55416 0 1 0 0 VP, Gen Mgr Payment Systems Common Stock 20103 D Common Stock 2997.7626 I By 401(k) Options (right to buy) 9.3047 1996-08-18 2004-08-17 Common Stock 3764 D Options (right to buy) 9.9369 1997-08-17 2005-08-16 Common Stock 3764 D Options (right to buy) 10.5646 1998-08-16 2006-08-15 Common Stock 3300 D Options (right to buy) 13.9671 1999-08-21 2007-08-20 Common Stock 3500 D Options (right to buy) 18.8687 2000-05-12 2008-05-11 Common Stock 4000 D Options (right to buy) 22.4616 2001-05-11 2009-05-10 Common Stock 3600 D Options (right to buy) 18.6069 2002-02-18 2010-02-17 Common Stock 4500 D Options (right to buy) 19.1875 2003-02-16 2011-02-15 Common Stock 6900 D Options (right to buy) 15.6774 2003-11-16 2011-11-15 Common Stock 10000 D Options (right to buy) 20.7979 2004-03-27 2012-03-26 Common Stock 5100 D Options (right to buy) 15.6165 2013-02-19 Common Stock 8500 D Options (right to buy) 19.3208 2011-02-18 Common Stock 8200 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. In addition, (a) all outstanding options to purchase Viad common stock were adjusted to consist of options to purchase Viad common stock and MGI common stock; (b) holders of stock units under deferred compensation plans of Viad received one MGI stock unit for each Viad stock unit held on the record date; and (c) holders of Viad restricted stock received one share of MGI restricted stock for each Viad share of restricted stock held on the record date. The securities ownership of the reporting person listed herein consists of the securities of MGI held immediately following the spin-off as a result of the spin-off distribution. The transaction is exempt pursuant to Rule 16a-9( a). The option vests in three equal installments beginning on February 20, 2004. The option vests in five equal installments beginning on February 19, 2005. Claudia Saavedra for Mary A. Dutra 2004-07-12 EX-24.3_48916 2 poa.txt POA DOCUMENT POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Teresa Johnson, Claudia Saavedra, and Carolyn Anderson, or any of them signing singly, and with full power of substitution, the undersigned's true and lawful attorney in fact to: (1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC; (2) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of MoneyGram International, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney in fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney in fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney in fact may approve in such attorney in fact's discretion. The undersigned hereby grants to each such attorney in fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney in fact, or such attorney in fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys in fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys in fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 3rd day of June, 2004. /s/ Mary A. Dutra Mary A. Dutra (signature) -----END PRIVACY-ENHANCED MESSAGE-----