0001120437-21-000006.txt : 20210105 0001120437-21-000006.hdr.sgml : 20210105 20210105174228 ACCESSION NUMBER: 0001120437-21-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210105 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON LEROY T JR CENTRAL INDEX KEY: 0000901731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14157 FILM NUMBER: 21507454 MAIL ADDRESS: STREET 1: C/O TDS STREET 2: 30 N. LASALLE ST #4000 CITY: CHICAGO STATE: IL ZIP: 60602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TELEPHONE & DATA SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0001051512 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 362669023 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30 NORTH LASALLE STREET STREET 2: STE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 BUSINESS PHONE: 3126301900 MAIL ADDRESS: STREET 1: 30 NORTH LASALLE STREET STREET 2: STE 4000 CITY: CHICAGO STATE: IL ZIP: 60602 4 1 wf-form4_160988653259755.xml FORM 4 X0306 4 2021-01-05 0 0001051512 TELEPHONE & DATA SYSTEMS INC /DE/ TDS 0000901731 CARLSON LEROY T JR 30 N. LASALLE ST., STE. 4000 CHICAGO IL 60602 1 1 0 0 President and CEO Common Shares 2021-01-05 4 M 0 7163 0 A 19630 D Common Shares 2021-01-05 4 F 0 1931 18.74 D 17699 D Deferred Compensation 2021-01-05 4 M 0 7163 0 D Common Shares 7163.0 54856 D Payout of deferred bonus. Reporting person deferred a portion of his 2017 bonus pursuant to the TDS Long-Term Incentive Plan. The deferred bonus has been invested in phantom stock now representing common shares, including dividend reinvestment. The price on January 4, 2021 was used to determine the payout for the deferred bonus shares. A total of 52,703 are vested. Includes 3,768 shares owned by children. Reporting person denies beneficial ownership of shares owned by children. Withholding of common shares as settlement for taxes due in connection with settlement of the deferred compensation payout. Julie D. Mathews, by power of atty 2021-01-05