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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 | ||||||||
Options (Right to Buy) | $ 35.63 | 06/21/2005 | M(1) | 8,500 | 11/17/1998 | 11/17/2007 | Common Stock | 8,500 | $ 35.63 | 1,755 | D | ||||
Options (Right to Buy) | $ 34.81 | 06/21/2005 | M(1) | 14,800 | 11/16/1999 | 11/16/2008 | Common Stock | 14,800 | $ 34.81 | 2,800 | D | ||||
Options (Right to Buy) | $ 35.63 | 06/21/2005 | M(1) | 1,755 | 11/17/1998 | 11/17/2007 | Common Stock | 1,755 | $ 35.63 | 0 | D | ||||
Options (Right to Buy) | $ 34.81 | 06/21/2005 | M(1) | 2,800 | 11/16/1999 | 11/16/2008 | Common Stock | 2,800 | $ 34.81 | 0 | D | ||||
Options (Right to Buy) | $ 34.19 | 06/21/2005 | M(1) | 507 | 11/15/2000 | 11/15/2009 | Common Stock | 507 | $ 34.19 | 26,993 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HAUSBERG MARK 300 TOWER PARKWAY LINCOLNSHIRE, IL 60069 |
Sr. VP - Finance & Treasurer |
Angela M. Pla, Attorney-in-Fact for Mark Hausberg | 06/23/2005 | |
**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) | Reflects the exercise of options issued under the issuer's Long-Term Incentive Plan. |
(2) | Reflects the delivery from the reporting person to the issuer of shares of common stock with a fair market value equal to the exercise price of the option. |
(3) | The number of shares reported as held by the Fortune Brands, Inc. Retirement Savings Plan Trust represents the undersigned's proportional beneficial interest in the common stock held in the Trust as of June 21, 2005. |
Remarks: On June 21, 2005, Mr. Hausberg exercised and subsequently sold 23,300 options granted under the issuer's Long-Term Incentive Plans. Mr. Hausberg also exercised 5,062 options under the issuer's Long-Term Incentive Plans and delivered to the issuer 1,944 shares of the issuer's stock, which had an aggregate fair market value equal to the exercise price of the option. As a result of these transactions, Mr. Hausberg's direct ownership of the issuer's common stock increased by 3,118 shares, from 22,724 shares to 25,842 shares. Mr. Hausberg also holds options to purchase 165,943 shares of the issuer's common stock and indirectly holds 1,155 shares through his participation in the Fortune Brands Retirement Savings Plan. |