FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
GRAY TELEVISION INC [ GTN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/11/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Class (GTN) | 80,500 | D | ||||||||
Common Class A (GTN.A) | 10,400 | D(1) | ||||||||
Common Class (GTN) | 113,950 | I | Spouse | |||||||
Common Class A (GTN.A) | 410,775 | I | Spouse | |||||||
Common Class (GTN) | 43,750 | I | Trustee for Children | |||||||
Common Class A (GTN.A) | 1,062,380 | I | Trustee for Children | |||||||
Common Class (GTN) | 35,000 | I | Delta Fire & Casualty Ins. Co. | |||||||
Common Class A (GTN.A) | 33,750 | I | Delta Fire & Casualty Ins. Co. | |||||||
Common Class (GTN) | 10,000 | I | Delta Life Ins. Co. | |||||||
Common Class A (GTN.A) | 135,795 | I | Delta Life Ins. Co. | |||||||
Common Class A (GTN.A) | 221,706 | I | Bankers Fidelity Life Ins. Co. | |||||||
Common Class (GTN) | 6,000 | I | Georgia Casualty & Surety Co. | |||||||
Common Class A (GTN.A) | 132,354 | I | Georgia Casualty & Surety Co. | |||||||
Common Class (GTN) | 72,000 | I | Associated Casualty Ins. Co. | |||||||
Common Class A (GTN.A) | 22,000 | I | Associated Casualty Ins. Co. | |||||||
Common Class (GTN) | 50,000 | I | American Southern Ins. Co. | |||||||
Common Class (GTN) | 4,628 | I | Spouse 401 K Plan | |||||||
Common Class A (GTN.A) | 10/11/2005 | P | 5,000 | A | $9.67 | 597,840 | D | |||
Common Class A (GTN.A) | 10/11/2005 | P | 5,000 | A | $9.574 | 76,900 | I | Gulf Capital Services, Ltd. |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 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: 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 | ||||||||
Option - Class A Common Stock (GTN.A) | $17.81 | 11/19/2000 | 11/19/2008 | GTN.A | 10,000 | 10,000 | I | spouse | |||||||
Option - Common Stock (GTN) | $12.5 | 11/20/2005 | 11/20/2008 | GTN | 40,000 | 40,000 | I | spouse | |||||||
Option - Common Stock (GTN) | $10.95 | 09/30/2004 | 09/30/2007 | GTN | 110,000 | 110,000 | I | spouse | |||||||
Option - Common Stock (GTN) | $11.23 | 01/07/2004 | 01/07/2007 | GTN | 67,000 | 67,000 | I | spouse | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 37,526(3) | 54 | D | ||||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 25,017(3) | 36 | I | Trustee for children | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 25,017(3) | 36 | I | Trustee for children | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 121,612(3) | 175 | I | Georgia Casualty and Surety Co. | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 121,612(3) | 175 | I | Bankers Fidelity Life Insurance Co. | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 207,088(3) | 298 | I | Delta Life Insurance Co. | |||||||
Series C Pref Stock | $14.39(2) | 04/22/2007 | 04/22/2012 | GTN | 34,746(3) | 50 | I | Delta Fire & Casualty Insurance Co. | |||||||
Option - Common Stock (GTN) | $14.06 | 05/19/2005 | 11/19/2007 | GTN | 50,000 | 50,000 | I | Spouse | |||||||
Options-Common Stock (GTN) | $11.1 | 06/07/2005 | 06/07/2010 | GTN | 125,000 | 125,000 | I | Spouse |
Explanation of Responses: |
1. Shares are held in an IRA account. |
2. In April of 2002, the Company issued Series C Preferred Stock to Mr. Robinson and certain of his affiliates in exchange for Series A and Series B Preferred Stock then held by Mr. Robinson. The Series C Preferred Stock is convertible into the Company's Common Stock ("GTN")at a conversion price of $14.39 per share. The Series C Preferred Stock is redeemable at the Company's option on or after April 22, 2007 and is subject to mandatory redemption on April 22, 2012 at a value of $10,000 per share. |
3. Each share of Series C Preferred Stock is convertible into a number of shares of common stock determined by dividing the liquidation preference ($10,000) by the conversion price ($14.39). |
Remarks: |
J. S. Cowart IV by power of attorney | 10/12/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |