SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Haag Joyce P

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

(Street)
ROCHESTER NY 14650

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/30/2005
3. Issuer Name and Ticker or Trading Symbol
EASTMAN KODAK CO [ EK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
5. 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 Beneficially Owned
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)
Common Stock 5,230.9779 I By Trustee in 401(k)
Common Stock 23.6967 I By Trustee in ESOP
Common Stock 4,110.8546 I By Trustee in Spouse's 401(k)
Common Stock 23.6967 I By Trustee in Spouse's ESOP
Common Stock 100 I By Trustee in IRA
Common Stock 100 I By Spouse
Common Stock 100(1) I By adult children
Common Stock 733 I As a Trustee of Gull Rock Foundation,Inc.
Common Stock 4,300 I As co-Manager of Pluta Family, LLC
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option (right to buy) (2) 03/28/2006 Common Stock 1,200 31.3 D
Option (right to buy) (2) 04/03/2007 Common Stock 1,760 31.3 D
Option (right to buy) (2) 03/17/2008 Common Stock 97 31.3 D
Option (right to buy) (2) 04/01/2008 Common Stock 2,200 31.3 D
Option (right to buy) (2) 05/04/2008 Common Stock 600 31.3 D
Option (right to buy) (2) 03/11/2009 Common Stock 241 31.3 D
Option (right to buy) (2) 03/31/2009 Common Stock 2,200 31.3 D
Option (right to buy) (2) 03/29/2010 Common Stock 2,934 31.3 D
Option (right to buy) (2) 01/11/2011 Common Stock 3,667 31.3 D
Option (right to buy) (2) 11/15/2011 Common Stock 6,500 31.3 D
Option (right to buy) (3) 11/21/2011 Common Stock 6,875 36.66 D
Option (right to buy) (3) 05/31/2012 Common Stock 30,833 26.47 D
Option (right to buy) (3) 06/29/2012 Common Stock 10,000 27.06 D
Option (right to buy) (2) 04/01/2008 Common Stock 67 31.3 I Options held by spouse
Option (right to buy) (2) 03/12/2010 Common Stock 67 31.3 I Options held by spouse
Explanation of Responses:
1. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purposes
2. These options have vested.
3. These options vest one-third on each of the first three anniversaries of the grant date.
Remarks:
Laurence L. Hickey, as attorney-in-fact for Joyce P. Haag 07/08/2005
** 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 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).
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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