FORM 5
o Check box if no longer o Form 3 Holdings Reported o Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
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OMB APPROVAL |
OMB
Number: 3235-0362 |
1. Name and Address
of Reporting Person Durkin, Jr., G. Michael (Last) (First) (Middle)
(Street)
(City)
(State) (Zip) |
2. Issuer Name and
Ticker PepsiAmericas, Inc. PAS
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4. Statement for
Month/Year December 2001
5. If Amendment, Date
of 5/21/2002 |
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Director |
10% Owner |
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X Form Filed by One Reporting Person |
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of |
2. Transaction
Date |
2A. Deemed |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of |
6. Owner- |
7. Nature of |
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Amount |
(A) or (D) |
Price |
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Common Stock(1) |
2/16/01 |
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A |
5,441 |
A |
(1) |
5,441 |
D |
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* If the form is filed by more than one reporting person, see instruction 4(b)(v).
Table II
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Derivative
Security |
2. Conver sion or Exercise Price of Derivative Security |
3. Transaction Date |
3A. Deemed Execution Date,
if any (Month/ |
4. Transaction Code |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and
Expiration Date |
7. Title and Amount of
Underlying Securities |
8. Price of Derivative
Security |
9. Number of Derivative
Securities Beneficially Owned at End of Year |
10.Ownership of Derivative
Security: |
11. Nature of Indirect Beneficial
Ownership |
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(A) |
(D) |
Date |
Expiration |
Title |
Amount or Number of Shares |
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Stock Option (Right to Buy) |
$16.4750 |
2/16/01 |
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A |
22,485 |
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(2) |
2/16/11 |
Common Stock |
22,485 |
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22,485 |
D |
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Explanation of Responses: (1) Represents a restricted stock award pursuant to the PepsiAmericas, Inc. 2002 Stock Incentive Plan. The award vests in three equal annual installments beginning on the first anniversary of the grant date. (2) The option vests in three equal annual installments beginning on the first anniversary of the grant date. This amended report is being filed to reflect the reporting person's restricted stock award as non-derivative securities on Table I. The original filing reported such award as derivative securities on Table II.
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/s/ Brian D. Wenger
** Signature of Reporting Person |
February 19, 2003
Date |
** 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 provided is insufficient,
see Instruction 6 for procedure.
http://www.sec.gov/divisions/corpfin/forms/form5.htm
Last update: 09/03/2002