-----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, OqSEvGO6QOVGKVGSjgdQIbf3UundNXU9/+S7s/jmR61Ccn9VQ+wUuTDGaYr+O4LT M0+XIDc/utqNeq0JAHyjXQ== 0000004962-04-000186.txt : 20041007 0000004962-04-000186.hdr.sgml : 20041007 20041007111130 ACCESSION NUMBER: 0000004962-04-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041005 FILED AS OF DATE: 20041007 DATE AS OF CHANGE: 20041007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOUSE DAVID C CENTRAL INDEX KEY: 0001209448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07657 FILM NUMBER: 041069543 BUSINESS ADDRESS: STREET 1: C/O AMERICAN EXPRESS CO STREET 2: 200 VESEY STREET MAIL STOP 01-50-01 CITY: NEW YORK STATE: NY ZIP: 10285 BUSINESS PHONE: 2126402000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN EXPRESS CO CENTRAL INDEX KEY: 0000004962 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 134922250 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 VESEY STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10285 BUSINESS PHONE: 2126402000 MAIL ADDRESS: STREET 1: 200 VESEY STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10285 4 1 doc4.xml PRIMARY DOCUMENT X0202 4 2004-10-05 0 0000004962 AMERICAN EXPRESS CO AXP 0001209448 HOUSE DAVID C AMERICAN EXPRESS TOWER 3 WORLD FINANCIAL CENTER NEW YORK NY 10285-5003 0 1 0 0 Member, Global Leadership Team Common Shares 2004-10-05 2004-10-05 4 M 0 62500 27.458 A 222179 D Common Shares 2004-10-05 2004-10-05 4 F 0 42928 52.72 D 179251 D Common Shares 6682 I By ISP Trust Common Shares 1110 I Custodian for minor children Employee Stock Option (right to buy) 27.458 2004-10-05 2004-10-05 4 M 0 62500 0 D 2002-09-28 2008-09-27 Common Shares 62500 189500 D Employee stock option (right to buy) 52.72 2004-10-05 2004-10-05 4 A 0 42928 0 A 2005-04-05 2008-09-27 Common Shares 42928 42928 D The reported disposition represents the surrender of shares to cover the cost of exercise and tax obligations arising from the ex ercise of employee stock options. Shares held in reporting person's account under the Company's Incentive Savings Plan as of October 1, 2004. This plan uses unit accounting, and the number of shares that a participant is deemed to hold varies with the unit price of the Company pooled stock fund. David C. House 2004-10-07 -----END PRIVACY-ENHANCED MESSAGE-----