Statement of Changes in Beneficial Ownership (4)
June 11 2021 - 7:46PM
Edgar (US Regulatory)
FORM 4
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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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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
*
Alviti Paulette |
2. Issuer Name and Ticker or Trading Symbol
Mondelez International, Inc.
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MDLZ
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP and Chief People Officer |
(Last)
(First)
(Middle)
MONDELEZ INTERNATIONAL, INC., 905 WEST FULTON MARKET, SUITE 200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/9/2021 |
(Street)
CHICAGO, IL 60607
(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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Class A Common Stock | 6/9/2021 | | M | | 30764 (1) | A | $40.23 | 83881 | D | |
Class A Common Stock | 6/9/2021 | | F | | 24518 (1) | D | $63.31 | 59363 | 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. 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 |
Stock Options (right to buy) | $40.23 | 6/9/2021 | | M | | | 30764 | (1) | 6/9/2028 | Class A Common Stock | 30764 | $0.00 | 15846 | D | |
Explanation of Responses: |
(1) | This Form 4 is being filed to report the exercise of stock options that became exercisable on June 11, 2019 and June 11, 2020 and expire on June 9, 2028, and to report the surrender of securities in payment of the exercise price and taxes. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Alviti Paulette MONDELEZ INTERNATIONAL, INC. 905 WEST FULTON MARKET, SUITE 200 CHICAGO, IL 60607 |
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| EVP and Chief People Officer |
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Signatures
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/s/ Jenny L. Lauth, by Power of Attorney | | 6/11/2021 |
**Signature of Reporting Person | Date |
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