-----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, DSNEqnwQHUWYzAIVncUprs1pnxg7yv79jCJcJ1hJwWErlHBFwM5xhizjQoJjFn75 9k+/8/cyTcoe0GHkOMT5oA== 0001209191-04-039958.txt : 20040809 0001209191-04-039958.hdr.sgml : 20040809 20040809165702 ACCESSION NUMBER: 0001209191-04-039958 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040805 FILED AS OF DATE: 20040809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dutra Mary A CENTRAL INDEX KEY: 0001293890 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31950 FILM NUMBER: 04962032 BUSINESS ADDRESS: BUSINESS PHONE: 952-591-3000 MAIL ADDRESS: STREET 1: 1550 UTICA AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55416 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-08-05 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 2004-08-05 4 M 0 3764 9.3047 A 3764 D Stock Option (right to buy) 9.3047 2004-08-05 4 M 0 3764 0.00 D 1996-08-18 2004-08-17 Common Stock 3764 0 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 MGI common stock. Claudia Saavedra for Mary A. Dutra 2004-08-09 -----END PRIVACY-ENHANCED MESSAGE-----