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FORM 3
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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, 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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1. Name and Address of Reporting Person* Korchun, Walter M.
(Last) (First) (Middle) 11720 Amber Park Drive
Suite 600
(Street)
Alpharetta, GA 30004
(City) (State) (Zip)
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2. Date of Event Requiring Statement Month/Day/Year 08/21/2002
3. I.R.S. Identification
Number of Reporting Person, if an entity (voluntary) |
4. Issuer Name andTicker or Trading Symbol Certegy Inc.
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable) Director
10% Owner
X Officer (give title below)
Other (specify below) Description
Corporate Vice President, General Counsel and Secretary
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6. If Amendment, Date of Original (Month/Day/Year) 08/21/2002
7. Individual or Joint/Group
Filing (Check Applicable Line) X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
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Common Stock
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15,000
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D |
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Common Stock
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129
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I |
By 401(K) Plan
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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) |
2. Date Exercisable(DE) and
Expiration Date(ED) (Month/Day/Year) DE / ED
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3. Title and Amount of
Underlying Securities (Instr. 4) Title / Amount or Number of Shares
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4. Conver-
sion or Exercise Price of Deri- vative Security |
5. Owner- ship Form of Deriv- ative Security: Direct (D) or Indirect (I) (Instr.5) |
6. Nature of Indirect Beneficial Ownership (Instr.5) |
| Stock Option (right to buy) |
(1),(2) / 6/15/2010
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Common Stock / 6,126
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$21.73 |
D
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| Stock Option (right to buy) |
(1),(3) / 1/29/2011
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Common Stock / 2,328
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$23.72 |
D
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| Stock Option (right to buy) |
(4) / 10/31/2011
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Common Stock / 3,750
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$28.50 |
D
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| Stock Option (right to buy) |
(5) / 2/12/2012
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Common Stock / 5,250
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$34.96 |
D
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| Stock Option (right to buy) |
(6) / 8/21/2012
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Common Stock / 25,000
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$33.10 |
D
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(1) The options are replacements of options originally granted under Equifax's Stock Option Plan. The replacements were in connection with the July 7, 2001 distribution by Equifax of all the outstanding common stock of Certegy to the shareholders of Equifax.
(2) 3,064 options vested on date of grant (June 15, 2000), 3,063 options vested on first anniversary of date of grant, 3,063 options vested on second anniversary of date of grant and remaining 3,063 options vest on third anniversary of the date of grant. Options for 6,127 shares were previously exercised. (3) 1,164 options vested on date of grant (January 29, 2001), 1,164 options vested on first anniversary of date of grant, remaining 2,328 options vest in two equal installments on the second and third anniversaries of the date of grant. Options for 2,328 shares were previously exercised. (4) 1,250 options vested on date of grant (October 31, 2001), remaining 3,750 options vest in three equal instal lments on each of the first, second and third anniversaries of the date of grant. Options for 1,250 shares were previously exercised. (5) 10,588 options vested on date of grant (February 12, 2002), remaining 5,250 options vest in three equal installments on each of the first, second and third anniversaries of the date of grant. Options for 9,588 shares were previously exercised. (6) 6,250 options vested on the date of grant, with the remaining 18,750 shares vesting in three equal installments on each of the first, second and third anniversaries of the date of grant (August 21, 2002). The initial filing of this Form 3 misstated the vesting schedule. |
| By: | Date: |
| /s/ Marcia R. Glick, Attorney-in-Fact | 04/01/2003 |
| Marcia R. Glick signing for Walter M. Korchun pursuant to a Power of Attorney on file | |
| ** Signature of Reporting Person | SEC 1473 (07-02) |
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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
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Name and Address of Reporting Person*
Korchun, Walter M.
(Last) (First) (Middle)
11720 Amber Park Drive
Suite 600
(Street)
Alpharetta, GA 30004
(City) (State) (Zip)
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Issuer Name and Ticker or Trading Symbol Certegy Inc.
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Statement for (Month/Day/Year) 08/21/2002
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POWER OF ATTORNEY
The undersigned constitutes and appoints Marcia R. Glick and Pamela A. Tefft, and each of them, with full power to act alone, his/her true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution, for him/her and in his/her name, place and stead, in any and all capacities, to execute and acknowledge Forms 4 (including amendments to them) with respect to securities of Certegy Inc. (the "Company"), and to deliver and file them with all exhibits, and all other documents in connection with them, to and with the Securities and Exchange Commission, the national securities exchanges and the Company pursuant to Section 16(a) of the Securities and Exchange Act of 1934, as amended, and the rules and regulations under that Act, granting to those attorneys-in-fact, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary t
o be done, as fully to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all that those attorneys-in-fact, or any one of them, or his/her substitute or their substitutes, lawfully do or cause to be done by virtue hereof. The undersigned agrees that each of the attorneys-in-fact may rely entirely on information furnished orally or in writing by the undersigned to them. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. EXECUTED on October 1, 2002. COUNTY OF FULTON SWORN TO AND SUBSCRIBED BEFORE ME on this 1st day of October, 2002. /s/ Anna C. Mitchell /s/ Walter M. Korchun
October 15, 2005 |