SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement (Month/Day/Year) |
3. Issuer Name and Ticker or Trading Symbol |
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4. Relationship of Reporting Person(s) to Issuer
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5. If Amendment, Date of Original Filed (Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned |
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1. Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Common Stock |
29,969 |
D |
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Common Stock |
60,550 |
I |
401(k) |
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Common Stock |
11,662 |
I |
Spouse's 401(k) |
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Table II - Derivative Securities Beneficially Owned |
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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: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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Restricted Stock Units |
(2) |
(2) |
Common Stock |
3,000 |
(1) |
D |
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Restricted Stock Units |
(3) |
(3) |
Common Stock |
10,000 |
(1) |
D |
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Restricted Stock Units |
(4) |
(4) |
Common Stock |
30,000 |
(1) |
D |
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Restricted Stock Units |
(5) |
(5) |
Common Stock |
20,000 |
(1) |
D |
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Employee Stock Option (right to buy)(6) |
06/09/2012 |
06/09/2021 |
Common Stock |
30,000 |
18.58 |
D |
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Employee Stock Option (right to buy)(6) |
09/07/2013 |
09/07/2022 |
Common Stock |
40,000 |
21.59 |
D |
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Employee Stock Option (right to buy)(6) |
09/13/2014 |
09/13/2023 |
Common Stock |
50,000 |
23.78 |
D |
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Employee Stock Option (right to buy)(6) |
09/05/2015 |
09/05/2024 |
Common Stock |
75,000 |
26.1 |
D |
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Employee Stock Option (right to buy)(6) |
09/11/2016 |
09/11/2025 |
Common Stock |
90,000 |
24.95 |
D |
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Employee Stock Option (right to buy)(6) |
09/30/2017 |
09/30/2026 |
Common Stock |
110,000 |
29.62 |
D |
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Employee Stock Option (right to buy)(6) |
11/17/2018 |
11/17/2027 |
Common Stock |
115,000 |
18.21 |
D |
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Employee Stock Option (right to buy)(7) |
01/29/2021 |
01/29/2028 |
Common Stock |
125,000 |
16.28 |
D |
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Employee Stock Option (right to buy)(8) |
03/19/2019 |
03/19/2028 |
Common Stock |
325,025 |
14.07 |
D |
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Employee Stock Option (right to buy)(9) |
12/21/2019 |
12/21/2028 |
Common Stock |
500,000 |
7.15 |
D |
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Explanation of Responses: |
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1. 1-for-1 |
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2. 15,000 units granted on 7/24/2014; 3,000 units vested on 7/24/2015; 3,000 units vested on 7/24/2016; 3,000 units vested on 7/24/2017; 3,000 units vested on 7/24/2018; and 3,000 units are scheduled to vest on 7/24/2019. |
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3. 25,000 units granted on 9/11/2015; 5,000 units vested on 9/11/2016; 5,000 units vested on 9/11/2017; 5,000 units vested on 9/11/2018; 5,000 units are scheduled to vest on 9/11/2019; and 5,000 units are scheduled to vest on 9/11/2020. |
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4. 50,000 units granted on 7/28/2016; 10,000 units vested on 7/28/2017; 10,000 units vested on 7/28/2018; 10,000 units are scheduled to vest on 7/28/2019; 10,000 units are scheduled to vest on 7/28/2020; and 10,000 units are scheduled to vest on 7/28/2021. |
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5. 25,000 units granted on 2/10/2017; 5,000 units vested on 2/10/2018; 5,000 units are scheduled to vest on 2/10/2019; 5,000 units are scheduled to vest on 2/10/2020; 5,000 units are scheduled to vest on 2/10/2021; and 5,000 units are scheduled to vest on 2/10/2022. |
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6. The options become exercisable in five equal installments of 20% each beginning on the "Date Exercisable" shown to the right, and another 20% become exercisable each year thereafter. |
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7. The options become exercisable in one installment on 1/29/2021. |
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8. The options become exercisable in three installments, with 108,341 options exercisable on 3/19/2019, and another 108,342 options exercisable on each of 3/19/2020 and 3/19/2021. |
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9. The options become exercisable in two equal installments of 50% each on 12/21/2020 and 12/21/2021. |
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Remarks: |
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Julia Chen on behalf of Scott Strazik |
01/08/2019 |
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** Signature of Reporting Person |
Date |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). |
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** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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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. |
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Limited Power of Attorney for Section 16 Reporting Obligations.
I, Scott Strazik, hereby appoint GE to assist me in the preparation and
filing of Section 16 reports, and execute the below Power of Attorney
for this purpose.
I am an officer of General Electric Company (GE) and, until further
written notice, I hereby individually authorize Christoph Pereira
(GE's Vice President, Chief Corporate, Securities and Finance Counsel),
Brian Sandstrom (GE's Executive Corporate, Securities and Finance Counsel),
Brandon Smith (GE's Executive Corporate, Securities and Finance
Counsel), and Julia Chen (GE's Corporate, Securities and Finance
Counsel) to sign on my behalf any Form 3, Form 4, Form 5, Form 144 or
related form that I have filed or may file hereafter in connection with
my direct or indirect beneficial ownership of GE securities, and to
take any other action of any type whatsoever in connection with the
foregoing that in his or her opinion may be for the benefit of, in the best
interest of, or legally required by me.
Signed: /s/ Scott Strazik
Name: Scott Strazik
Date: 12/30/2018