SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CARP DANIEL A

(Last) (First) (Middle)
343 STATE STREET

(Street)
ROCHESTER NY 14650

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EASTMAN KODAK CO [ EK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman, CEO
3. Date of Earliest Transaction (Month/Day/Year)
07/15/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units(6) (1) 07/15/2004 A 240.132(5) (2) (2) common stock 25,140.372 $25.64 25,140.372 D
Restricted Stock Units (1) 07/15/2004 A 49.398(5) (2) (2) common stock 5,173.069 $25.64 5,173.069 D
Restricted Share Units (1) (2) (2) common stock 26,315 26,315 D
Share Units (1) 07/15/2004 A 586.66(5) (2) (2) common stock 34,821.09 $25.64 34,821.09 D
Resticted Stock Units (1) (2) (2) common stock 75,000 75,000 D
Stock Units (1) 07/15/2004 A 753.03(5) (2) (2) common stock 4,071.16 $25.64 4,071.16 D
Resticted Stock Units (1) (2) (2) common stock 6,562.29 6,562.29 D
Stock Units (1) 07/15/2004 A 66.86(5) (2) (2) common stock 361.81 $25.64 361.81 D
Resticted Stock Units (1) (2) (2) common stock 25,000 25,000 D
Stock Units (1) 07/15/2004 A 251.01(5) (2) (2) common stock 1,357.06 $25.64 1,357.06 D
Resticted Stock Units (1) (2) (2) common stock 18,341.14 18,341.14 D
Stock Units (1) 07/15/2004 A 186.86(5) (2) (2) common stock 1,010.24 $25.64 1,010.24 D
Stock Unit (1) (3) (4) Common Stock 30,398 30,398 D
Stock Unit (1) 07/15/2004 A 292.09(5) (2) (2) Common Stock 30,249.32 $25.64 30,249.32 D
Explanation of Responses:
1. These units convert on a one-for-one basis.
2. This date is not applicable to these units.
3. These units represent stock awarded under the Eastman Kodak Company 2000 Omnibus Long-Term Compensation Plan and deferred under that Plan as stock units. The units are entitled to dividend equivalents on each dividend payment date.
4. Deferred awards will be paid out on the date or dates selected by the Issuer.
5. These units were credited to the reporting person's account as dividend equivalents.
6. This filing exceeds 30 lines and requires two Form 4 to complete the filing. This is the second of two Forms 4 filed by the Daniel A. Carp for the July 15, 2004 transaction.
Remarks:
James M. Quinn, as attorney-in-fact for Daniel A. Carp 07/19/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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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