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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET 41ST FLOOR |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 09/29/2009
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3. Issuer Name and Ticker or Trading Symbol
EASTMAN KODAK CO
[ EK ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Warrants (right to buy)
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09/29/2017 |
Common Stock, $2.50 par value |
37,297,084 |
5.5 |
I |
See footnotes
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Warrants (right to buy)
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09/29/2017 |
Common Stock, $2.50 par value |
2,008,472 |
5.5 |
I |
See footnotes
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Warrants (right to buy)
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09/29/2017 |
Common Stock, $2.50 par value |
694,444 |
5.5 |
I |
See footnotes
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET 41ST FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET 41ST FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET 41ST FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET |
SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
9 WEST 57TH STREET 41ST FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO |
9 WEST 57TH ST |
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ William J. Janetschek, KKR Fund Holdings GP Limited (9) |
10/08/2009 |
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/s/ William J. Janetschek, KKR Group Holdings L.P. (10) |
10/08/2009 |
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/s/ William J. Janetschek, KKR Group Limited (11) |
10/08/2009 |
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/s/ William J. Janetschek, KKR & Co. L.P. (12) |
10/08/2009 |
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/s/ William J. Janetschek, KKR & Co. L.P. (13) |
10/08/2009 |
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/s/ William J. Janetschek, KKR Management LLC (14) |
10/08/2009 |
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/s/ William J. Janetschek, KKR Management LLC (15) |
10/08/2009 |
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/s/ William J. Janetschek, as Attorney-in-Fact for Henry R. Kravis |
10/08/2009 |
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/s/ William J. Janetschek, as Attorney-in-Fact for George R. Roberts |
10/08/2009 |
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** 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. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Exhibit 24.1
POWER OF ATTORNEY
Know
all men by these presents that Henry R. Kravis does hereby make, constitute and
appoint William J. Janetschek and Richard J. Kreider, or either one of them, as
a true and lawful attorney-in-fact of the undersigned with full
powers of substitution and revocation, for and in the name, place and stead of
the undersigned (both in the undersigneds individual capacity and as a member
of any limited liability company or as a partner of any partnership for which
the undersigned is otherwise authorized to sign), to execute and deliver such
forms as may be required to be filed from time to time with the Securities and
Exchange Commission with respect to: (i)
Sections 13(d) and 16(a) of the Securities Exchange Act of 1934, as amended
(the Act), including without limitation, Schedule 13D, Schedule 13G,
statements on Form 3, Form 4 and Form 5 and (ii) in
connection with any applications for EDGAR access codes, including without
limitation the Form ID.
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/s/
Henry R. Kravis
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Name:
Henry R. Kravis
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Date: July 31, 2005
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POWER OF ATTORNEY
Know
all men by these presents that George R. Roberts does hereby make, constitute
and appoint William J. Janetschek and Richard J. Kreider, or either one of
them, as a true and lawful attorney-in-fact of the undersigned with
full powers of substitution and revocation, for and in the name, place and
stead of the undersigned (both in the undersigneds individual capacity and as
a member of any limited liability company or as a partner of any partnership
for which the undersigned is otherwise authorized to sign), to execute and
deliver such forms as may be required to be filed from time to time with the
Securities and Exchange Commission with respect to: (i) Sections 13(d) and 16(a) of the
Securities Exchange Act of 1934, as amended (the Act), including without
limitation, Schedule 13D, Schedule 13G, statements on Form 3, Form 4
and Form 5 and (ii) in connection with any applications for EDGAR
access codes, including without limitation the Form ID.
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/s/
George R. Roberts
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Name:
George R. Roberts
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Date: July 31, 2005
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