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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 | ||||||||
Phantom Stock Units | (1) | 11/12/2012 | A | 78,500 | (2) | 11/12/2016 | Common Stock | 78,500 | $ 0 | 78,500 | D | ||||
Time-Based Cash Award | (3) | 11/12/2012 | A | 0 (3) | (3) | (3) | Time Based Cash Award (3) | 0 (3) | $ 0 (3) | 0 (3) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kennedy Michael N. 707 SEVENTEENTH STREET SUITE 3600 DENVER, CO 80202 |
Executive V.P. & CFO |
By: Michael N. Kennedy, attorney-in-fact For: Michael N. Kennedy | 11/14/2012 | |
**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) | Each share of phantom stock is the economic equivalent of one share of Forest Oil Corporation common stock and will be settled solely in cash. |
(2) | This award will vest in installments of 10%, 20%, 30% and 40%, respectively, on each of the first four grant date anniversaries. |
(3) | On 11/12/12, Reporting Person was granted a time-based cash award with an initial value of $281,370 (the "Initial Value"). The Initial Value increases or decreases based on the value of Forest Oil Corporation's common stock (including dividends) and is payable 10%, 20%, 30%, and 40% on each of the first four grant date anniversaries; provided, that in the event of the death or disability, or if Reporting Person is involuntarily terminated within two years after a change of control or, in connection with a change of control, the surviving entity does not assume the award or substitute it with an award substantially similar in all material economic respects, Reporting Person shall be entitled to the full amount of the award not previously paid. |