Initial Statement of Beneficial Ownership (3)
December 13 2021 - 6:54PM
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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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
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Ergen Two-Year December 2021 DISH GRAT |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/3/2021
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3. Issuer Name and Ticker or Trading Symbol
DISH Network CORP [DISH]
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(Last)
(First)
(Middle)
9601 S. MERIDIAN BLVD. |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
ENGLEWOOD, CO 80112
(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) |
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 |
Class B Common Stock | (1) | (1) | Class A Common Stock | 32500000 | (1) | D (2) | |
Explanation of Responses: |
(1) | The Grantor Retained Annuity Trust ("GRAT") may elect to convert any or all of its Class B shares into an equal number of Class A shares at any time for no additional consideration. |
(2) | On December 3, 2021, Charles W. Ergen established the Ergen Two-Year December 2021 DISH GRAT and contributed 32,500,000 Class B shares, resulting in the transfer of a total of 32,500,000 Class B shares. Mrs. Cantey M. Ergen serves as the trustee of such GRAT. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ergen Two-Year December 2021 DISH GRAT 9601 S. MERIDIAN BLVD. ENGLEWOOD, CO 80112 |
| X |
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Signatures
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/s/ Mrs. Cantey M. Ergen, Trustee of the Ergen Two-Year December 2021 DISH GRAT, by Brandon Ehrhart, Attorney-in-Fact | | 12/13/2021 |
**Signature of Reporting Person | Date |
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