FORM 4
Check
this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
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OMB APPROVAL |
OMB
Number: 3235-0287 |
1. Name and Address of Reporting Person *
(Last)
(First)
(Middle)
(Street)
(City)
(State) (Zip)
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2. Issuer Name and Ticker Certegy Inc. CEY
3. I.R.S.
Identification |
4. Statement for 12/12/02
/ |
6. Relationship of Reporting Person(s) to Issuer (Check
all applicable) Director
10% Owner
X Officer (give title below)
Other (specify below) Executive Vice President and Chief Operating Officer
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Transaction Date
(Month/Day/ |
2A. Deemed Execution Date,
if any (Month/Day/ |
3. Transaction Code |
4. Securities Acquired (A)
or Disposed of (D) |
5. Amount of Securities
Beneficially Owned Following Reported Transaction(s) |
6. Ownership Form: Direct
(D) or Indirect (I) |
7. Nature of Indirect
Beneficial Ownership |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Stock |
2/12/2002 |
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A |
V |
36,000 |
A |
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Common Stock |
12/12/2002 |
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M |
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6,175 |
A |
$10.1965 |
75,390 |
D |
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Common Stock |
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6,653 |
I |
By 401(K) Plan |
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Table II - Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date |
3A. Deemed Execution Date,
if any (Month/Day/ |
4. Transaction Code (Instr. 8) |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and
Expiration Date |
7. Title and Amount of
Underlying Securities |
8. Price of Derivative
Security |
9. Number of Derivative
Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form of
Derivative Securities: Direct (D) or Indirect (I) |
11. Nature of Indirect
Beneficial Ownership |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or Number of Shares |
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Employee Stock Option (right to buy) |
$34.96 |
2/12/2002 |
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A |
V |
103,954 |
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(1) |
2/12/2012 |
Common Stock |
103,954 |
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103,954 |
D |
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Employee Stock Option (right to buy) |
$10.1965 |
12/12/2002 |
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M |
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6,175 |
(2) |
1/25/2005 |
Common Stock |
6,175 |
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5,888 |
D |
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Explanation of Responses:
(1) 36,454 options vested on the date of grant, with the remaining 67,500 options vesting in three equal installments on each of the first, second and third anniversaries of the date of grant. (2) The option is a replacement of an option, which was originally granted on January 25, 1995 under Equifax Inc.'s Stock Option Plan. The replacement was in connection with the July 7, 2001 distribution by Equifax of all the outstanding common stock of Certegy to the shareholders of Equifax. The original option provided for vesting in four equal installments beginning on January 25, 1996.
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*Larry J. Towe ** Signature of Reporting Person |
12/16/2002 Date |
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*By: /s/ Marcia R. Glick, as attorney-in-fact |
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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.
http://www.sec.gov/divisions/corpfin/forms/form4.htm
Last update: 09/05/2002