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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Option (right to buy)
(1)
|
05/10/2001 |
05/10/2009 |
Common Stock
|
700
|
$
22.4616
|
D
|
Â
|
Option (right to buy)
(1)
|
02/17/2002 |
02/17/2010 |
Common Stock
|
1,700
|
$
18.6069
|
D
|
Â
|
Option (right to buy)
(1)
|
02/15/2003 |
02/15/2011 |
Common Stock
|
3,025
|
$
19.1875
|
D
|
Â
|
Option (right to buy)
(1)
|
03/26/2004 |
03/26/2012 |
Common Stock
|
2,600
|
$
20.7979
|
D
|
Â
|
Option (right to buy)
(1)
|
Â
(2)
|
02/18/2011 |
Common Stock
|
2,500
|
$
19.3208
|
D
|
Â
|
Option (right to buy)
(3)
|
Â
(4)
|
02/16/2015 |
Common Stock
|
4,700
|
$
20.51
|
D
|
Â
|
Option (right to buy)
(5)
|
Â
(6)
|
02/15/2016 |
Common Stock
|
6,500
|
$
27.245
|
D
|
Â
|
Option (right to buy)
(5)
|
Â
(7)
|
02/14/2017 |
Common Stock
|
4,600
|
$
29.255
|
D
|
Â
|
* |
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) |
In a spin-off effective on June 30, 2004, Viad Corp ("Viad") distributed to its stockholders the shares of MoneyGram International, Inc. ("MGI"). At the time of the spin-off, holders of Viad stock received one share of MGI stock for each Viad share held on the record date of June 24, 2004. In addition, (a) all outstanding options to purchase Viad common stock were adjusted to consist of options to purchase Viad common stock and MGI common stock; (b) holders of stock units under deferred compensation plans of Viad received one MGI stock unit for each Viad stock unit held on the record date; and (c) holders of Viad restricted stock received one share of MGI restricted stock for each Viad share of restricted stock held on the record date. The securities ownership of the reporting person listed herein consists of the securities of MGI held immediately following the spin-off as a result of the spin-off distribution. The transaction is exempt pursuant to Rule 16a-9(a). |
(2) |
The option vests in five equal installments beginning on February 18, 2005. |
(3) |
Non-qualified stock option granted pursuant to MoneyGram International, Inc. 2004 Omnibus Incentive Plan. |
(4) |
The option vests in three equal annual installments beginning on February 16, 2006. |
(5) |
Non-qualified stock option granted pursuant to MoneyGram International, Inc. 2005 Omnibus Incentive Plan. |
(6) |
The option vests in three equal annual installments beginning on February 15, 2007. |
(7) |
The option vests in three equal annual installments beginning on February 14, 2008. |