Initial Statement of Beneficial Ownership (3)
November 25 2016 - 4:08PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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
*
Bakish Robert M
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2. Date of Event Requiring Statement (MM/DD/YYYY)
11/15/2016
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3. Issuer Name
and
Ticker or Trading Symbol
Viacom Inc. [VIA, VIAB]
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(Last)
(First)
(Middle)
1515 BROADWAY
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Acting President and CEO /
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(Street)
NEW YORK, NY 10036
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Class B Common Stock
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83914
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D
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Class B Common Stock
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10
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I
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By 401(k)
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Class B Common Stock
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185
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I
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By Daughter
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Class B Common Stock
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57
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I
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By Daughter
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Employee Stock Option (Right to Buy)
(1)
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(2)
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6/8/2018
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Class B Common Stock
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73320
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$32.55
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D
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Employee Stock Option (Right to Buy)
(3)
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(2)
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5/25/2019
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Class B Common Stock
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69930
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$49.95
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D
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Employee Stock Option (Right to Buy)
(3)
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(2)
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5/23/2020
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Class B Common Stock
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79051
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$47.21
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D
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Employee Stock Option (Right to Buy)
(3)
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(4)
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5/22/2021
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Class B Common Stock
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61444
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$69.56
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D
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Employee Stock Option (Right to Buy)
(3)
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(5)
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5/21/2022
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Class B Common Stock
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48309
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$84.46
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D
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Employee Stock Option (Right to Buy)
(3)
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(6)
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5/20/2023
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Class B Common Stock
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73193
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$65.92
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D
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Employee Stock Option (Right to Buy)
(7)
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(8)
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5/18/2024
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Class B Common Stock
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104046
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$38.86
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D
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Restricted Share Units
(3)
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(9)
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(9)
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Class B Common Stock
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4313
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(3)
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D
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Restricted Share Units
(3)
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(10)
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(10)
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Class B Common Stock
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7104
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(3)
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D
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Restricted Share Units
(3)
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(11)
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(11)
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Class B Common Stock
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13653
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(3)
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D
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Restricted Share Units
(7)
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(12)
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(12)
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Class B Common Stock
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34740
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(7)
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D
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Explanation of Responses:
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(
1)
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Granted under the Viacom Inc. 2006 Long-Term Management Incentive Plan, as amended and restated as of December 2, 2008, for no consideration.
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(
2)
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Current.
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(
3)
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Granted under the Viacom Inc. 2006 Long-Term Management Incentive Plan, as amended and restated as of January 1, 2011, for no consideration.
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(
4)
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The remaining Stock Options, originally granted on May 22, 2013, will vest on May 22, 2017.
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(
5)
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The remaining Stock Options, originally granted on May 21, 2014, will vest in two equal annual installments beginning on May 21, 2017.
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(
6)
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The remaining Stock Options, originally granted on May 20, 2015, will vest in three equal annual installments beginning on May 20, 2017.
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(
7)
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Granted under the Viacom Inc. 2016 Long-Term Management Incentive Plan for no consideration.
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(
8)
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These Stock Options were granted on May 18, 2016 and will vest in four equal annual installments beginning May 18, 2017.
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(
9)
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These remaining Restricted Share Units ("RSUs"), originally granted on May 22, 2013, will vest on May 22, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on the vest date.
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(
10)
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These remaining RSUs, originally granted on May 21, 2014, will vest in two equal annual installments beginning on May 21, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
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(
11)
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These remaining RSUs, originally granted on May 20, 2015, will vest in three equal annual installments beginning on May 20, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
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(
12)
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These RSUs, granted on May 18, 2016, will vest in four equal annual installments beginning on May 18, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
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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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Bakish Robert M
1515 BROADWAY
NEW YORK, NY 10036
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Acting President and CEO
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Signatures
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/s/ Michael D. Fricklas,
Attorney-in-Fact for Robert M. Bakish
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11/25/2016
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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 5(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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