Initial Statement of Beneficial Ownership (3)
January 10 2020 - 4:16PM
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
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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
*
Tolley David |
2. Date of Event Requiring Statement (MM/DD/YYYY)
1/1/2020
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3. Issuer Name and Ticker or Trading Symbol
Intelsat S.A. [I]
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(Last)
(First)
(Middle)
C/O INTELSAT S.A., 4, RUE ALBERT BORSCHETTE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) EVP & Chief Financial Officer / |
(Street)
LUXEMBOURG, N4 L-1246
(City)
(State)
(Zip)
| 5. 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Shares | 100000 | D | |
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) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Share Units | (1) | (1) | Common Shares | 38000 | (1) | D | |
Restricted Share Units | (2) | (2) | Common Shares | 100000 | (2) | D | |
Explanation of Responses: |
(1) | Each restricted share unit ("RSU") represents a contingent right to receive one Common Share. The RSUs vest in three equal annual installments, beginning March 1, 2020. |
(2) | Each RSU represents a contingent right to receive one Common Share. Fifty percent (50%) of the RSUs will vest on July 1, 2020, twenty-five percent (25%) on July 1, 2021 and the remaining twenty-five percent (25%) on July 1, 2022. |
Remarks: EXHIBIT LIST - Exhibit 24 - Power of Attorney for David Tolley. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Tolley David C/O INTELSAT S.A. 4, RUE ALBERT BORSCHETTE LUXEMBOURG, N4 L-1246 |
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| EVP & Chief Financial Officer |
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Signatures
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/s/ Sajid Ajmeri as attorney-in-fact | | 1/10/2020 |
**Signature of Reporting Person | Date |
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