|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $ 41.25 | 11/10/2004 | D(1) | 3,350 | (1) | 12/07/2005 | Common Stock | 3,350 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 39.2939 | 11/10/2004 | A(1) | 3,517 | (1) | 12/07/2005 | Common Stock | 3,517 | (2) | 3,517 | D | ||||
Employee Stock Option (right to buy) | $ 44.375 | 11/10/2004 | D(1) | 4,500 | (1) | 12/05/2006 | Common Stock | 4,500 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 42.2707 | 11/10/2004 | A(1) | 4,724 | (1) | 12/05/2006 | Common Stock | 4,724 | (2) | 4,724 | D | ||||
Employee Stock Option (right to buy) | $ 48.25 | 11/10/2004 | D(1) | 3,450 | (1) | 12/04/2007 | Common Stock | 3,450 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 45.9619 | 11/10/2004 | A(1) | 3,622 | (1) | 12/04/2007 | Common Stock | 3,622 | (2) | 3,622 | D | ||||
Employee Stock Option (right to buy) | $ 37.75 | 11/10/2004 | D(1) | 5,800 | (1) | 12/03/2008 | Common Stock | 5,800 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 35.9599 | 11/10/2004 | A(1) | 6,089 | (1) | 12/03/2008 | Common Stock | 6,089 | (2) | 6,089 | D | ||||
Employee Stock Option (right to buy) | $ 41.375 | 11/10/2004 | D(1) | 13,000 | (1) | 12/02/2009 | Common Stock | 13,000 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 39.413 | 11/10/2004 | A(1) | 13,647 | (1) | 12/02/2009 | Common Stock | 13,647 | (2) | 13,647 | D | ||||
Employee Stock Option (right to buy) | $ 24.88 | 11/10/2004 | D(1) | 6,500 | (1) | 12/05/2012 | Common Stock | 6,500 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 23.7002 | 11/10/2004 | A(1) | 6,823 | (1) | 12/05/2012 | Common Stock | 6,823 | (2) | 6,823 | D | ||||
Employee Stock Option (right to buy) | $ 33.18 | 11/10/2004 | D(1) | 4,000 | (1) | 12/04/2013 | Common Stock | 4,000 | (2) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 31.6066 | 11/10/2004 | A(1) | 4,199 | (1) | 12/04/2013 | Common Stock | 4,199 | (2) | 4,199 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KELLY RICHARD K 601 W. RIVERSIDE AVENUE, SUITE 1100 SPOKANE, WA 99201 |
Vice President |
Malcolm A. Ryerse, Attorney-in-fact | 11/12/2004 | |
**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) | On October 25, 2004, the Board of Directors of Potlatch Corporation (the "Company") declared a special cash dividend to stockholders of record on November 10, 2004. The Company's applicable stockholder-approved stock incentive plans require proportionate adjustment of the exercise price and the number of shares of common stock covered by outstanding awards under such plans in a manner determined by the Executive Compensation and Personnel Policies Committee of the Company's Board of Directors to reflect the declaration of the special cash dividend. The adjustment of the outstanding award is being reported as a deemed cancellation and regrant of the original stock option to clarify the change in the exercise price and number of shares covered by the subject stock option. The original option provided for vesting in two equal annual installments following the date of grant. |
(2) | The option has no purchase or sale price, therefore Column 8 has been left blank. |