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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 | ||||||||
Stock Options (right to buy) | $ 27.05 | 05/11/2016 | M | 69,320 (1) | 02/20/2016 | 02/20/2023 | Class A Common Stock | 69,320 | $ 0 | 0 | D | ||||
Stock Options (right to buy) | $ 34.165 | 05/11/2016 | M | 43,467 (2) | 02/19/2016 | 02/19/2024 | Class A Common Stock | 43,467 | $ 0 | 22,393 | D | ||||
Stock Options (right to buy) | $ 36.94 | 05/11/2016 | M | 25,126 (3) | 02/18/2016 | 02/18/2025 | Class A Common Stock | 25,126 | $ 0 | 51,014 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Clouse Mark A. MONDELEZ INTERNATIONAL, INC. THREE PARKWAY NORTH DEERFIELD, IL 60015 |
EVP & Chief Commercial Officer |
/s/ Jenny L. Lauth, by Power of Attorney | 05/12/2016 | |
**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) | This Form 4 is being filed to report the exercise of stock options that became 100% exercisable on February 20, 2016 and expire on February 20, 2023, and to report the surrender of securities in payment of the exercise price and taxes. |
(2) | This Form 4 is being filed to report the exercise of stock options that became exercisable on February 19, 2015 and February 19, 2016 and expire on February 19, 2024, and to report the surrender of securities in payment of the exercise price and taxes |
(3) | This Form 4 is being filed to report the exercise of stock options that became exercisable on February 18, 2016 and expire on February 18, 2025, and to report the surrender of securities in payment of the exercise price and taxes. |
(4) | Shares represent interests in the Mondelez International Stock Fund, which are payable in cash. The Reporting Person's interests in the Mondelez International Stock Fund fluctuate with the fund's performance. The information in this report is based on a plan statement for the period ending April 30, 2016. |