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 |
Warrant (right to buy)
|
Â
(2)(3)
|
Â
(2)(3)
|
Common Shares, par value $0.01 per share
|
6,693,513
(2)
(3)
|
$
0.01
|
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) |
(1) The 90,176,016 shares of Nalco Holding Company's common stock reported as beneficially owned in
the above table assumes the issuance of a dividend of 90,175,916 shares of Nalco Holding Company's
common stock to Nalco LLC immediately prior to the consummation of the initial public officer of Nalco
Holding Company. |
(2) |
(2) Pursuant to an agreement expected to be executed immediately prior to the consummation of the initial
public offering of Nalco Holding Company, Nalco Holding Company will issue warrants to Nalco LLC,
which will allow Nalco LLC to purchase, for $0.01 per share, up to 6,693,513 shares of Nalco Holding
Company common stock (the "Warrants"). See the form of the Warrants to be issued to Nalco LLC which
is filed as Exhibit 10.26 to the Registration Statement on Form S-1 of Nalco Holding Company (File No.
333-118583). This will enable Nalco LLC to deliver Nalco Holding Company common stock to Nalco
Holding Company's management in exchange for certain class A units and vested class B, C and D units of
Nalco LLC. For more information about the Nalco LLC units, see the Management Members Agreements,
which are filed as Exhibits 10.30 to 10.39 to the Registration Statement on Form S-1 of Nalco Holding
Company (File No. 333-118583). |
(3) |
(3)Subject to limited exceptions, the Warrants become exercisable upon certain dates subject to
acceleration upon Nalco LLC achieving certain EBITDA targets. In the event that Nalco LLC at
any time holds more shares acquired upon exercise of the Warrants than it would be required to
use to satisfy management exchange rights, Nalco LLC will be obligated to place any such excess
Nalco Holding Company common stock into an escrow account for use in connection with
delivery of such common stock in connection with employee incentive compensation plans. Upon
depositing such excess common stock with the escrow agent, Nalco LLC will have no further
rights with respect to the excess common stock. |