Statement of Changes in Beneficial Ownership (4)
November 17 2021 - 6:41PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Jassy Andrew R |
2. Issuer Name and Ticker or Trading Symbol
AMAZON COM INC
[
AMZN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President and CEO |
(Last)
(First)
(Middle)
P.O. BOX 81226 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/15/2021 |
(Street)
SEATTLE, WA 98108-1226
(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)
_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)
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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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Common Stock, par value $.01 per share | 11/15/2021 | | M | | 2153 | A | $0 | 88988 | D | |
Common Stock, par value $.01 per share | 11/15/2021 | | S(1) | | 124 | D | $3533.1371 (2) | 88864 | D | |
Common Stock, par value $.01 per share | 11/15/2021 | | S(1) | | 224 | D | $3535.0426 (3) | 88640 | D | |
Common Stock, par value $.01 per share | 11/15/2021 | | S(1) | | 300 | D | $3536.1867 (4) | 88340 | D | |
Common Stock, par value $.01 per share | 11/15/2021 | | S(1) | | 200 | D | $3537.06 (5) | 88140 | D | |
Common Stock,
par value $.01
per share | | | | | | | | 3275 | I | In trust |
Common Stock, par value $.01 per share | | | | | | | | 491.41 | I | Amazon.com 401(k) plan account |
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) | 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 | 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 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 |
Restricted Stock Unit Award | $0 (6) | 11/15/2021 | | M | | | 2153 | 5/15/2017 (7) | 2/15/2022 | Common Stock, par value $.01 per share | 2153 | $0 | 2154 | D | |
Explanation of Responses: |
(1) | This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. |
(2) | Represents the weighted average sale price. The highest price at which shares were sold was $3,533.50 and the lowest price at which shares were sold was $3,533.05. |
(3) | Represents the weighted average sale price. The highest price at which shares were sold was $3,535.17 and the lowest price at which shares were sold was $3,534.22. |
(4) | Represents the weighted average sale price. The highest price at which shares were sold was $3,536.43 and the lowest price at which shares were sold was $3,535.91. |
(5) | Represents the weighted average sale price. The highest price at which shares were sold was $3,537.10 and the lowest price at which shares were sold was $3,537.02. |
(6) | Converts into Common Stock on a one-for-one basis. |
(7) | This award vests based upon the following vesting schedule and the satisfaction of certain business criteria intended to qualify the award as tax-deductible compensation under Section 162(m) of the Internal Revenue Code: 494 shares on each of May 15, 2017, August 15, 2017, and November 15, 2017; 495 shares on February 15, 2018; 952 shares on each of May 15, 2018, August 15, 2018, November 15, 2018, and February 15, 2019; 1,138 shares on May 15, 2019; 1,139 shares on each of August 15, 2019, November 15, 2019, and February 15, 2020; 2,791 shares on each of May 15, 2020, August 15, 2020, and November 15, 2020; 2,792 shares on February 15, 2021; 2,153 shares on each of May 15, 2021, August 15, 2021, and November 15, 2021; and 2,154 shares on February 15, 2022. |
Remarks: The reporting person undertakes to provide, upon request by the staff of the SEC, the issuer, or a security holder of the issuer, full information regarding the number of shares transacted at each price, with respect to all transactions reported on this Form 4. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Jassy Andrew R P.O. BOX 81226 SEATTLE, WA 98108-1226 | X |
| President and CEO |
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Signatures
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/s/ by Mark F. Hoffman as attorney-in-fact for Andrew R. Jassy, President and CEO | | 11/17/2021 |
**Signature of Reporting Person | Date |
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