Annual Statement of Changes in Beneficial Ownership (5)
February 08 2023 - 3:05PM
Edgar (US Regulatory)
FORM 5
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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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Form 3 Holdings Reported
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Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
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SMITH ROBERT E | 2. Issuer Name and Ticker or Trading SymbolSINCLAIR BROADCAST GROUP INC [SBGI] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
10706 BEAVER DAM ROAD | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2022 |
(Street)
COCKEYSVILLE, MD 21030
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 (MM/DD/YYYY) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Class B Common Stock | $0 | 5/13/2022 | | G (1) | 13500 | | (2) | (2) | Class B Common Stock | 13500 | $0 | 6048604 (3)(4) | D | |
Class B Common Stock | $0 | 5/13/2022 | | G (1) | | 13500 | (2) | (2) | Class B Common Stock | 13500 | $0 | 131500 (3)(4) | I | Trustee of Trust f/b/o Family Member |
Class B Common Stock | $0 | 5/13/2022 | | G (5) | 56300 | | (2) | (2) | Class B Common Stock | 56300 | $0 | 6048604 (3)(4) | D | |
Explanation of Responses: |
(1) | Distribution of Class B Common Stock to the Reporting Person from trust |
(2) | The Class B Common Stock is convertible at the Reporting Person's election and has no expiration date. |
(3) | After giving effect to the transactions reported on this Form 5, the Reporting Person directly owns 6,048,604 shares of Class B Common Stock at the end of the issuer's fiscal year. |
(4) | The Reporting Person also directly owns 47,270 shares of Class A Common Stock and 826.747905 shares of Class A Common Stock held in a 401(k) unitized stock fund. |
(5) | Distribution of Class B Common Stock to the Reporting Person from independent trustee pursuant to the terms of the Irrevocable Trust Agreement dated March 17, 2020. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SMITH ROBERT E 10706 BEAVER DAM ROAD COCKEYSVILLE, MD 21030 | X | X |
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Signatures
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Clinton R. Black, V, Esq., on behalf of Robert E. Smith, by Power of Attorney | | 2/8/2023 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | 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). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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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