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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CHAN ANNIE M H 19770 STEVENS CREEK BLVD. CUPERTINO, CA 95014 |
X |
/s/ Annie M.H. Chan | 10/12/2005 | |
**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). |
(1) | Shares previously reported on Form 4 filed by Fred S.L. Chan dated April 4, 2003. |
(2) | Shares acquired under a second dividend distribution of Vialta, Inc. |
(3) | Shares reflect conversion of outstanding shares of Class A and Class B Common Stock into undesignated Common Stock in connection with recapitalization effected in July 2002. |
(4) | Shares held by Mrs. Chan, of which 8,042,932 were transferred to Annie M.H. Chan TR UA 07-25-95, The Annie M.H. Chan Living Trust. |
(5) | Shares held by Fred S.L. Chan, the spouse of Mrs. Chan. Mrs. Chan disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein. |
(6) | The reported securities were held directly by the David Y.W. Chan Trust UA DTD 12-21-87 (the ?David Chan Trust?). |
(7) | The reported securities were held directly by the Edward Y.C. Chan Trust UA DTD 12-21-87 (the ?Edward Chan Trust?). |
(8) | The reported securities were held directly by the Michael Y.J. Chan Trust UA DTD 3-16-92 (the ?Michael Chan Trust?). |
(9) | The reported securities were held directly by the Shiu Leung Chan & Annie M.H. Chan Gift Trust Dated 11/20/92 (the ?Chan Gift Trust?). |
(10) | The David Chan Trust, Edward Chan Trust, Michael Chan Trust and Chan Gift Trust were established by F. Chan and/or A. Chan for the benefit of their children. Mr. and Mrs. Chan are not trustees of these trusts and disclaim beneficial ownership of and any pecuniary interest in these securities. |
(11) | The reported securities were held directly by Evershine XVI, L.P., of which Mr. and Mrs. Chan are the managing members of the sole general partner. Except to the extent of any indirect pecuniary interest therein, Mrs. Chan disclaims beneficial ownership of these securities. |