-----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, WHoViMhAUXEm//8xvrEDAz11hk1DYtdMriJBDunEfcfBKm+ZNPptviTLgU99O34S 3jdWD5RUccCChid7n80TWA== 0001209191-04-038449.txt : 20040730 0001209191-04-038449.hdr.sgml : 20040730 20040730201421 ACCESSION NUMBER: 0001209191-04-038449 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040728 FILED AS OF DATE: 20040730 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RJ REYNOLDS TOBACCO HOLDINGS INC CENTRAL INDEX KEY: 0000083612 STANDARD INDUSTRIAL CLASSIFICATION: CIGARETTES [2111] IRS NUMBER: 560950247 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 NORTH MAIN STREET CITY: WINSTON-SALEM STATE: NC ZIP: 27102 BUSINESS PHONE: 336-741-5500 MAIL ADDRESS: STREET 1: 401 NORTH MAIN STREET CITY: WINSTON SALEM STATE: NC ZIP: 27102 FORMER COMPANY: FORMER CONFORMED NAME: RJR NABISCO INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: REYNOLDS R J INDUSTRIES INC DATE OF NAME CHANGE: 19860501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LANE LYNN L CENTRAL INDEX KEY: 0001022879 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06388 FILM NUMBER: 04943505 BUSINESS ADDRESS: STREET 1: BURLINGTON INDUSTRIES INC STREET 2: 1345 AVE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10105 BUSINESS PHONE: 2126213478 MAIL ADDRESS: STREET 1: BURLINGTON INDUSTRIES INC STREET 2: 1345 AVE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10105 4 1 bch90115_bch3lane2.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-07-28 1 0000083612 RJ REYNOLDS TOBACCO HOLDINGS INC RJR 0001022879 LANE LYNN L 401 N. MAIN STREET WINSTON-SALEM NC 27102 0 1 0 0 Senior VP and Treasurer RJR Common Stock 2004-07-28 4 D 0 3750 0 D 12140 D Common Stock 2004-07-30 4 F 0 2501 0 D 9639 D Common Stock 2004-07-30 4 D 0 9639 0 D 0 D Employee Stock Option (Right-to-Buy) 27.5 2004-07-30 4 D 0 15000 D Common Stock 15000 0 D Disposed of pursuant to the reporting person's election to forfeit common stock in connection with the vesting of related options. Disposed of pursuant to the Business Combination Agreement, dated as of October 27, 2003, as amended, between the Issuer and Brown & Williamson Corporation, and the transactions related thereto, in exchange for an equal number of shares of Common Stock of Reynolds American Inc., or RAI, the new publicly held company created in the business combination. The value of such consideration was $70.25 per share, based on the closing price of the Issuer's Common Stock on July 29, 2004. Disposed of in the business combination described in footnote 2 in exchange for an option to acquire an equal number of shares of RAI Common Stock on the same terms. McDara P. Falan, III, Attorney-in-Fact 2004-07-30 -----END PRIVACY-ENHANCED MESSAGE-----