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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option - Class A Common Stock (GTN.A) | $ 15.39 (3) | 11/19/2000 | 11/19/2008 | GTN.A (3) | 11,570 | 11,570 (3) | D | ||||||||
Option - Common Stock (GTN) | $ 10.93 (3) | 11/20/2005 | 11/20/2008 | GTN (3) | 45,720 | 45,720 (3) | D | ||||||||
Option - Common Stock (GTN) | $ 9.58 (3) | 09/30/2004 | 09/30/2007 | GTN (3) | 125,730 | 125,730 (3) | D | ||||||||
Option - Common Stock (GTN) | $ 9.82 (3) | 01/07/2004 | 01/07/2007 | GTN (3) | 76,581 | 76,581 (3) | D | ||||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 41,316 (5) | 54 | I | Spouse | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 27,544 (5) | 36 | I | Spouse as Trustee for Children | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 27,544 (5) | 36 | I | Spouse as Trustee for Children | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 133,894 (5) | 175 | I | Georgia Casualty and Surety Co. | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 133,894 (5) | 175 | I | Bankers Fidelity Life Insurance Co. | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 228,003 (5) | 298 | I | Delta Life Insurance Co. | |||||||
Series C Pref Stock | $ 13.07 (4) | 04/22/2007 | 04/22/2012 | GTN | 38,256 (5) | 50 | I | Delta Fire & Casualty Insurance Co. | |||||||
Option - Common Stock (GTN) | $ 12.3 (3) | 05/19/2005 | 11/19/2007 | GTN | 57,150 (3) | 57,150 (3) | D | ||||||||
Options-Common Stock (GTN) | $ 9.71 (3) | 06/07/2005 | 06/07/2010 | GTN | 142,875 (3) | 142,875 (3) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ROBINSON J MACK 4370 PEACHTREE ROAD,NE ATLANTA, GA 30319 |
X | Chairman & CEO |
Dottie Boudreau by power of attorney | 06/29/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Shares are held in an IRA account. |
(2) | Held in 401K plan and based on plan statement as of 12/31/05. |
(3) | Reflects anti-dilution adjustment undertaken as a result of the spin-off completed on December 30, 2005. |
(4) | In April of 2002, the Company issued Series C Preferred Stock to Mr. Robinson and certain of his affiliates in exchange for Series A and Series B Preferred Stock then held by Mr. Robinson. The Series C Preferred Stock is convertible into the Company's Common Stock ("GTN")at a conversion price of $13.07 (as adjusted for the spin off of TCM) per share. The Series C Preferred Stock is redeemable at the Company's option on or after April 22, 2007 and is subject to mandatory redemption on April 22, 2012 at a value of $10,000 per share. |
(5) | Each share of Series C Preferred Stock is convertible into a number of shares of common stock determined by dividing the liquidation preference ($10,000) by the conversion price ($13.07 as adjusted for the spin off of TCM). |