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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 | ||||||||
Employee Stock Option (1) | $ 17.075 | 02/10/2005 | M | 10,000 | 12/31/2002(4) | 12/31/2011 | Common Stock | 10,000 | $ 0 | 20,000 | I | By Trust (2) | |||
Employee Stock Option (1) | $ 18.98 | 02/10/2005 | M | 9,600 | 12/31/2003(4) | 12/31/2012 | Common Stock | 9,600 | $ 0 | 28,800 | I | By Trust (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CHILTON WARD 9295 PROTOTYPE DRIVE RENO, NV 89521 |
Senior Vice President |
Virginia Williams, Attorney-in-Fact for Ward Chilton | 02/10/2005 | |
**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) | Employee Stock Option (right to buy) granted pursuant to the International Game Technology Stock Option Plan. |
(2) | Mariam and Ward Chilton Family Revocable Living Trust Dated June 28, 2002. |
(3) | In addition to 4,000 shares of common stock held by the Mariam and Ward Chilton Family Revocable Living Trust Dated June 28, 2002, 34,036 shares are held by the Ward Chilton Trust Dated December 8, 1998. |
(4) | The option becomes exercisable in equal annual installments over a five year period, at the rate of 20% per year, commencing on the first anniversary of the date of grant |