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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Phantom Stock Units | (1) | 07/01/2005 | A | 890.89 | (2) | (2) | Common Stock, Par Value $1.00 | 890.89 | $ 31.71 | 11,537.7 | D | ||||
Phantom Stock Units | (1) | 07/01/2005 | A | 756.86 | (3) | (3) | Common Stock, Par Value $1.00 | 756.86 | $ 31.71 | 12,294.56 (4) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RICKARD DAVID B CVS CORPORATION ONE CVS DRIVE WOONSOCKET, RI 02895 |
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By: /s/ Scott T. Mikuen, Attorney-in-Fact, For: David B. Rickard | 07/06/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Convertible on a 1-for-1 basis. |
(2) | The phantom stock units were accrued under the Harris Corporation 2005 Directors' Deferred Compensation Plan and are to be settled in cash upon the reporting person's retirement and other events. |
(3) | The phantom stock units were awarded under the Harris Corporation 2005 Directors' Deferred Compensation Plan and are to be settled in cash following the reporting person's retirement or other events. The units were acquired on July 1 pursuant to a quarterly automatic grant. |
(4) | The aggregate of 12,294.56 phantom stock units includes 21.90 phantom units acquired through dividend reinvestment in the Harris Corporation 2005 Directors' Deferred Compensation Plan on 5/26/05 and a reduction of .02 stock unit to reflect "rounding" of prior reports from the plan's record keeper. |