-----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, PlsXMYazQ3H/CHcxWoCK94PJwiwW248rggvr3HQ8S/k3Msmgn5xXV1eaDg0Nwucf c1I1GbTeb1DVo2T6fpxOVw== 0000004962-04-000216.txt : 20041110 0000004962-04-000216.hdr.sgml : 20041110 20041110102851 ACCESSION NUMBER: 0000004962-04-000216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041108 FILED AS OF DATE: 20041110 DATE AS OF CHANGE: 20041110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOWEN WILLIAM G CENTRAL INDEX KEY: 0001204360 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07657 FILM NUMBER: 041131647 BUSINESS ADDRESS: STREET 1: MERCK & CO INC STREET 2: ONE MERCK DRIVE P O BOX 100 CITY: WHITEHOUSE STATION STATE: NJ ZIP: 08889-0100 BUSINESS PHONE: 9084231000 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 2004-11-08 0 0000004962 AMERICAN EXPRESS CO AXP 0001204360 BOWEN WILLIAM G THE ANDREW W. MELLON FOUNDATIONTHE ANDRE 140 EAST 62ND STREET140 EAST 62ND STREET NEW YORK NY 10021 1 0 0 0 Common Shares 2004-11-08 2004-11-08 4 M 0 3000 34.167 A 32102 D Common Shares 6820 I by spouse Common Shares 3420 I by trust Common Shares 4300 I co-trustee Director Stock Option (right to buy) 34.167 2004-11-08 2004-11-08 4 M 0 3000 0 D 1999-04-27 2008-04-27 Common Shares 3000 0 D On January 30, 2004, the reporting person contributed these shares of common stock to a charitable remainder trust of which the reporting person is a trustee and of which the reporting person and his wife are beneficiaries. The reporting person continues to report beneficial ownership of all of the AXP common stock held by the trust but disclaims beneficial ownership except to the extent of his and his wife's pecuniary interest therein. These options vested in three equal annual installments beginning on the date shown as "Date Exercisable." William G. Bowen 2004-11-10 -----END PRIVACY-ENHANCED MESSAGE-----