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
Common Stock 34,771(1) D
Common Stock(6) 5,034.704(2) I By Trustee in 401(k)
Common Stock 83.687(3) I By Trustee in ESOP
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
Option (right to buy) $42.938 (4) 02/14/2004 common stock 7,600 7,600 D
Option (right to buy) $56.313 (4) 04/19/2005 common stock 14,820 14,820 D
Option (right to buy) $62.6875 (4) 10/31/2005 common stock 15,000 15,000 D
Option (right to buy) $71.813 (4) 03/28/2006 common stock 34,000 34,000 D
Option (right to buy) $90.438 (4) 03/12/2007 common stock 1,993 1,993 D
Option (right to buy) $74.313 (4) 04/03/2007 common stock 50,000 50,000 D
Option (right to buy) $61.594 (4) 03/12/2008 common stock 1,402 1,402 D
Option (right to buy) $65.906 (4) 04/01/2008 common stock 100,000 100,000 D
Option (right to buy) $73.844 (4) 04/30/2008 common stock 300,000 300,000 D
Option (right to buy) $66.75 (4) 03/11/2009 common stock 2,223 2,223 D
Option (right to buy) $63.875 (4) 03/31/2009 common stock 100,000 100,000 D
Option (right to buy) $55.188 (4) 03/29/2010 common stock 100,000 100,000 D
Option (right to buy) $40.9687 01/12/2004 01/11/2011 common stock 160,000 160,000 D
Option (right to buy) $29.31 11/16/2004 11/15/2011 common stock 250,000 250,000 D
Option (right to buy) $36.66 (5) 11/21/2012 common stock 175,000 175,000 D
Option (right to buy) $24.49 (5) 11/18/2010 common stock 72,000 72,000 D
Explanation of Responses:
1. Some of these shares are restricted.
2. This amount represents the number of shares in the Eastman Kodak Employee's Savings and Investment Plan for the account of the reporting person. The number of shares held by each participant fluctuates with the change in stock price, due to the conversion from units to shares.
3. This amount represents the number of shares in the Kodak Employee Stock Ownership Plan for the account of the reporting person. These shares were acquired by the trustee over a period of time at current market prices.
4. These options have vested.
5. These options vest one-third on each of the first three anniversaries of the date of grant.
6. This filing exceeds 30 lines and requires two Form 4 to complete the filing. This is the first 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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