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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 | ||||||||
Deferred Stock | $ 86.28 | 06/01/2005 | A(1) | 700 | (2) | (2) | Common Stock | 700 | $ 86.28 | 5,264 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LOHMAN GORDON R FORTUNE BRANDS, INC. 300 TOWER PARKWAY LINCOLNSHIRE, IL 60069 |
X |
Mark A. Roche, Attorney-in-Fact for Gordon R. Lohman | 06/03/2005 | |
**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 deferral by the undersigned of the receipt of 700 shares of common stock granted under the issuer's 2005 Non-Employee Director Stock Plan. receipt of stock is deferred until the January following the calendar year in which the undersigned ceases to be a member of the Board of Directors. |
(2) | There is no applicable exercisable and epiration date for this type of derivative security. |
Remarks: On June 1, 2005, Mr. Lohman was granted 700 shares of the issuer's common stock under the issuer's 2005 Non-Employee Director Stock Plan, receipt of which he has deferred until the January following the calendar year in which he ceases to be a member of the Board of Directors. As a result of this transaction, Mr. Lohman has the right to receive a total of 5,264 shares of the issuer's common stock, receipt of which he has deferred. Mr. Lohman also owns 1,500 shares of the issuer's common stock and options to purchase 22,217 shares of the issuer's common stock. |