Statement of Changes in Beneficial Ownership (4)
December 03 2014 - 4:59PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
ERGEN CHARLES W
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2. Issuer Name
and
Ticker or Trading Symbol
DISH Network CORP
[
DISH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman
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(Last)
(First)
(Middle)
9601 S. MERIDIAN BLVD.
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/1/2014
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(Street)
ENGLEWOOD, CO 80112
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock
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2148111
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D
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Class A Common Stock
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15280
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I
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I
(1)
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Class A Common Stock
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235
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I
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I
(2)
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Class A Common Stock
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19549
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I
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I
(3)
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Class A Common Stock
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1989
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I
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I
(4)
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Class A Common Stock
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27000
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I
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I
(5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Class B Common Stock
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(6)
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12/1/2014
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G
(7)
(8)
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V
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9921032
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(6)
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(6)
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Class A Common Stock
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9921032
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(6)
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9694505
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I
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I
(7)
(8)
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Class B Common Stock
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(6)
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12/1/2014
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G
(7)
(8)
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V
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1725641
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(6)
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(6)
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Class A Common Stock
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1725641
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(6)
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153552499
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D
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Explanation of Responses:
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(
1)
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The shares are held by a custodian for the reporting person's children. The reporting person disclaims beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
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(
2)
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Held by Mrs. Cantey M. Ergen.
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(
3)
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Held by Mr. Charles W. Ergen in a 401(k) account.
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(
4)
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Held by Mrs. Cantey M. Ergen in a 401(k) account.
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(
5)
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The shares are held by a charitable foundation. The reporting person is an officer of the charitable foundation and has both investment control and voting power for the foundation. The reporting person disclaims beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
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(
6)
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The holder of the shares of Class B stock may elect to convert any or all of their Class B shares into an equal number of Class A shares at any time for no additional consideration.
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(
7)
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Pursuant to the terms of the Ergen Four-Year 2010 DISH GRAT, 997,279 shares were distributed as an annuity to Mr. Ergen on December 1, 2014, with the remaining 8,195,391 shares distributed to trusts for the reporting persons' family members. Trusts for the reporting persons' family members hold 25,188,204 shares following this distribution. Following these distributions, the Ergen Four-Year 2010 DISH GRAT expired pursuant to its terms.
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(
8)
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Pursuant to the terms of the Ergen Five-Year 2010 DISH GRAT, 728,362 shares were distributed as an annuity to Mr. Ergen on December 1, 2014, with the Ergen Five-Year 2010 DISH GRAT retaining 9,694,505 shares. The Ergen Five-Year 2010 DISH GRAT expires on November 30, 2015.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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ERGEN CHARLES W
9601 S. MERIDIAN BLVD.
ENGLEWOOD, CO 80112
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X
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X
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Chairman
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ERGEN CANTEY
9601 S. MERIDIAN BLVD.
ENGLEWOOD, CO 80112
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X
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X
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Signatures
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Charles W. Ergen, by Brandon Ehrhart, his Attorney in Fact
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12/3/2014
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**
Signature of Reporting Person
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Date
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Cantey M. Ergen, by Brandon Ehrhart, her Attorney in Fact
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12/3/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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