UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MacDougall Lawrence C. MONDELEZ INTERNATIONAL, INC. THREE PARKWAY NORTH DEERFIELD, IL 60015 |
 |  |  EVP & President, EEMEA |  |
/s/ Jenny L. Lauth, by Power of Attorney | 02/24/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Total number of shares includes 13,980 deferred stock units granted under the Issuer's Amended and Restated 2005 Performance Incentive Plan. Deferred stock units will vest as follows: 3,030 shares on February 23, 2015; 5,090 shares on February 22, 2016 and 5,860 shares on February 20, 2017. |
(2) | Pursuant to an administrative error, the holdings of non-derivative securities as of July 31, 2014 in Table 1, Column 2 was incorrectly reported as 108,450 shares. This amendment is being filed to correct the number of non-derivative securities in Table 1, Column 2 held on July 31, 2014. The original form did not report 11,176 shares of Class A Common Stock held by Mr. MacDougall and over-reported 37,790 shares of Class A Common Stock that were withheld to satisfy tax withholding obligations in connection with the vesting of deferred stock units and performance share units. |