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) 03/14/2007 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) 03/16/2007 |
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 Stock (GTN) | 676(1) | D | ||||||||
Common Class A Stock (GTN.A) | 58,575 | I | Spouse | |||||||
Common Class A Stock (GTN.A) | 500 | I | children | |||||||
Common Stock (GTN) | 35,000 | I | Delta Fire & Casualty Insurance Co. | |||||||
Common Class A Stock (GTN.A) | 33,750 | I | Delta Fire & Casualty Insurance Co. | |||||||
Common Stock (GTN) | 10,000 | I | Delta Life Insurance Co. | |||||||
Common Class A Stock (GTN.A) | 135,795 | I | Delta Life Insurance Co. | |||||||
Common Class A Stock (GTN.A) | 221,706 | I | Bankers Fidelity Life Insurance Co. | |||||||
Common Stock (GTN) | 6,000 | I | Georgia Casualty & Surety Co. | |||||||
Common Class A Stock (GTN.A) | 132,354 | I | Georgia Casualty & Surety Co. | |||||||
Common Stock (GTN) | 50,000 | I | Association Casualty Insurance Co. | |||||||
Common Class A Stock (GTN.A) | 32,000 | I | Association Casualty Insurance Co. | |||||||
Common Stock (GTN) | 50,000 | I | American Southern Insurance Co. | |||||||
Common Stock (GTN) | 03/14/2007 | A | 5,000 | A | $0.00 | 199,497 | D | |||
Common Class A Stock (GTN.A) | 66,870 | D |
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 | ||||||||
Nonqualified Stock Option | $9.71 | 09/20/2007 | 09/20/2010 | GTN | 102,870(1) | 102,870(1) | D | ||||||||
Nonqualified Stock Option | $7.78 | 10/28/2004 | 10/28/2007 | GTN | 28,575(1) | 28,575(1) | D | ||||||||
Series C Preferred Stock | $13.07(2) | 04/22/2007 | 04/22/2012 | GTN | 133,894(3) | 175 | I | Georgia Casualty & Surety Co. | |||||||
Series C Preferred Stock | $13.07(2) | 04/22/2007 | 04/22/2012 | GTN | 133,894(3) | 175 | I | Bankers Fidelity Life Insurance Co. | |||||||
Series C Preferred Stock | $13.07(2) | 04/22/2007 | 04/22/2012 | GTN | 228,003(3) | 298 | I | Delta Life Insurance Co. | |||||||
Series C Preferred Stock | $13.07(2) | 04/22/2007 | 04/22/2012 | GTN | 38,257(3) | 50 | I | Delta Fire & Casualty Insurance Co. |
Explanation of Responses: |
1. Held in 401K and based on plan statement as of 12/31/06. |
2. In April of 2002, Gray Television, Inc. issued Series C Preferred Stock to certain affiliates of Mr. Howell and others unaffiliated with Mr. Howell or Gray. The Series C Preferred Stock is convertible into Gray's Common Stock ("GTN") at a conversion price of $13.07 per share (as adjusted for the spin off of TCM). The Series C Preferred Stock is redeemable at Gray'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 ($13.07 as adjusted for the spin off of TCM). |
Remarks: |
Dottie Boudreau by Power of Attorney | 03/26/2007 | |
** 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. |