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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 | ||||||||
Restricted Stock Unit (12-06) P | (1) | 01/09/2010 | M | 2,800 | (1) | (1) | Common Stock | 2,800 | $ 0 | 0 | D | ||||
Restricted Stock Unit (12-06) T | (2) | 01/09/2010 | M | 2,800 | (2) | (2) | Common Stock | 2,800 | $ 0 | 0 | D | ||||
401(k) Excess Plan Phantom Stock Units | (4) | (4) | (4) | Common Stock | 3,544 | 3,544 | I | By 401(k) Excess Plan |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MATHEWS JAMES G 13625 TECHNOLOGY DRIVE MINNEAPOLIS, MN 55344 |
VP & CFO |
/s/ James G. Mathews | 01/12/2010 | |
**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) | Represents full vesting of Performance-Based Restricted Stock Units granted 12/18/06 and issued under the ADC Telecommunications, Inc. Global Stock Incentive Plan. Pursuant to the reporting person's Award Agreement, these units vested on January 9, 2010 and will be settled one-for-one in shares of common stock. |
(2) | Represents full vesting of Time-Based Restricted Stock Units granted 12/18/06 and issued under the ADC Telecommunications, Inc. Global Stock Incentive Plan. Pursuant to the reporting person's Award Agreement, these units vested on January 9, 2010 and will be settled one-for-one in shares of common stock. |
(3) | The reporting person owns units in the ADC Stock Fund (the "Fund") in the ADC Telecommunications, Inc. Retirement Savings Plan 401(k) (the "Plan"). These units represented 2990 shares of ADC common stock as of December 31, 2009. The number of shares of common stock in the Fund will vary because the Fund is a pooled account consisting of ADC common stock and an investment of up to 2% of the Fund in money market securities that serves as a cash reserve. |
(4) | The reporting person indirectly owns phantom stock units in registrant's 401(k) Excess Plan which are to be settled in cash upon reporting person's retirement; conversion rate = One-for-One. The information herein is based on a statement dated as of 12/31/09. |