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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options (Right to buy) | $ 6.625 | 03/16/2002 | 03/16/2009 | Common Stock | 10,000 | 10,000 | D | ||||||||
Stock Options (Right to buy) | $ 17.75 | 06/07/2002 | 06/07/2011 | Common Stock | 5,000 | 5,000 (3) | D | ||||||||
Stock Options (Right to buy) | $ 31.9 | 06/07/2003 | 06/07/2012 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Options (Right to buy) | $ 32.38 | 08/29/2004 | 08/29/2013 | Common Stock | 6,000 | 6,000 (4) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FORMANEK PETER R C/O THE SPORTS AUTHORITY, INC. 1050 WEST HAMPDEN AVENUE ENGLEWOOD, CO 80110 |
X |
Nesa E. Hassanein, Attorney-In-Fact | 06/20/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(3) | Number of derivative Securities Beneficially Owned at End of Month consist of options for services as a director of the Company at varying exercise prices and vesting terms as previously reported. |
(1) | Amount of Securities Beneficially Owned at End of Month include shares of Common Stock owned and restricted stock units subject to varying vesting terms. |
(4) | Special one-time merger grant of stock options vesting 100% on the first anniversary of the date of grant, subject to earlier vesting upon a Change of Control. |
(2) | Amount of Securities Beneficially Owned at End of Month are owned by the Formanek Investment Trust with Self as Trustee and a Beneficiary. |