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FORM 5
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OMB APPROVAL
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OMB Number: 3235-0362
Expires: January 31, 2005
Estimated average burden
hours per response.........1.0
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
|_| Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
|_| Form 3 Holdings Reported
|_| Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
HART SCOTTY
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(Last) (First) (Middle)
P.O. BOX 1379
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(Street)
LUBBOCK TEXAS 79408
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(City) (State) (Zip)
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2. Issuer Name AND Ticker or Trading Symbol
ALAMOSA HOLDINGS, INC. APS
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
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4. Statement for Month/Year
12/02
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
|X| Director |_| 10% Owner
|_| Officer (give title below) |_| Other (specify below)
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7. Individual or Joint/Group Reporting
(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 ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
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5. 6.
4. Amount of Owner-
2A. Securities Acquired (A) or Securities ship
2. Deemed 3. Disposed of (D) Beneficially Form: 7.
Trans- Execution Transaction (Instr. 3, 4 and 5) Owned Direct Nature of
action Date, Code ----------------------------- at End (D) or Indirect
1. Date if any (Instr. 8) (A) of Issuer's Indirect Beneficial
Title of Security (Month/ (Month/ ------------ or Fiscal Year (I) Ownership
(Instr. 3) Day/Year) Day/Year) Amount (D) Price (Instr. 3 & 4) (Instr. 4) (Instr. 4)
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* If the form is filed by more than one reporting person, see instruction
4(b)(v).
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
(Over)
SEC 2270 (3-99)
FORM 5 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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10.
9. Owner-
Number ship
2. of Form of
Conver- 5. 7. Deriv- Deriv- 11.
sion Number of Title and Amount ative ative Nature
or 3A. Derivative 6. of Underlying 8. Secur- Secur- of
Exer- Deemed 4. Securities Date Securities Price ities ity In-
cise 3. Execut- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Bene- Direct direct
Price Trans- ion action or Disposed Expiration Date ---------------- Deriv- ficially (D) or Bene-
1. of action Date if Code of (D) (Month/Day/Year) Amount ative Owned In- ficial
Title of Deriv- Date any (Instr. (Instr. 3, ---------------- or Secur- at End direct Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity of Year (I) ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Employee $3.52 2/27/02 A 3,670 2/27/02 2/27/12 Common 3,670 3,670 D
Stock Stock
Option
(right
to buy)
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Employee $4.99 4/29/02 A 13,375 4/29/02 4/29/12 Common 13,375 13,375 D
Stock Stock
Option
(right
to buy)
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Explanation of Responses:
/s/ SCOTTY HART 1/7/03
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**Signature of Reporting Person Date
** 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 provided 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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