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Cleary James F – ‘5’ for 9/30/19 re: Amerisourcebergen Corp.

On:  Tuesday, 11/12/19, at 4:29pm ET   ·   For:  9/30/19   ·   Accession #:  1127602-19-32537   ·   File #:  1-16671

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

11/12/19  Cleary James F                    5                      1:20K  Amerisourcebergen Corp.           Restricted Stock Sy… Inc

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 5   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 5           Annual Statement of Changes in Beneficial           HTML      3K 
                Ownership of Securities by an Insider --                         
                form5.xml/3.6                                                    




        

This ‘5’ Document is an XML Data File that may be rendered in various formats:

  Form 5    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Annual Statement of Changes in Beneficial Ownership of Securities by an Insider
 
FORM 5UNITED 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0362
Estimated average burden
hours per response:1.0
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Cleary James F

(Last)(First)(Middle)
227 WASHINGTON STREET

(Street)
CONSHOHOCKENPA19428

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
AMERISOURCEBERGEN CORP [ ABC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
XOfficer (give title below) Other (specify below)
Chief Financial Officer
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
9/30/19
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount(A) or (D)Price
Common Stock 6/2/15 P4 (1)2.5793A$112.437,437.3479D
Common Stock 9/2/15 L (2)5.8069A$100.017,437.3479D
Common Stock 12/2/15 L (3)6.8287A$1007,437.3479D
Common Stock 3/8/16 L (3)7.8296A$87.517,437.3479D
Common Stock 6/7/16 L (3)9.0212A$76.257,437.3479D
Common Stock 9/7/16 L (3)7.8409A$88.117,437.3479D
Common Stock 12/6/16 L (4)9.4567A$78.737,437.3479D
Common Stock 3/7/17 L (4)8.357A$89.517,437.3479D
Common Stock 6/6/17 L (4)8.1043A$92.687,437.3479D
Common Stock 9/6/17 L (4)9.4224A$80.037,437.3479D
Common Stock 12/5/17 L (5)9.2073A$85.657,437.3479D
Common Stock 3/6/18 L (5)8.3869A$94.447,437.3479D
Common Stock 6/5/18 L (5)9.4494A$84.167,437.3479D
Common Stock 9/5/18 L (5)8.9741A$89.027,437.3479D
Common Stock 12/4/18 P4 (6)9.5492A$88.447,437.3479D
Common Stock 3/5/19 P4 (6)10.534A$80.537,437.3479D
Common Stock 6IBy Trust (7)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Explanation of Responses:
(1)  This purchase consisted of automatic broker-administered dividend reinvestment activity and should have been reported with the Form 4 filed on August 11, 2015.
(2)  This purchase consisted of automatic broker-administered dividend reinvestment activity and should have been reported on a Form 5 for the fiscal year ended September 30, 2015.
(3)  These purchases consisted of automatic broker-administered dividend reinvestment activity and should have been reported on a Form 5 for the fiscal year ended September 30, 2016.
(4)  These purchases consisted of automatic broker-administered dividend reinvestment activity and should have been reported on a Form 5 for the fiscal year ended September 30, 2017.
(5)  These purchases consisted of automatic broker-administered dividend reinvestment activity and should have been reported on a Form 5 for the fiscal year ended September 30, 2018.
(6)  These purchases consisted of automatic broker-administered dividend reinvestment activity and should have been reported with the Form 4 filed on March 6, 2019.
(7)  The Form 4 filed on March 28, 2019 listed 6 shares of common stock as having been purchased directly by Mr. Cleary but were actually purchased by a family trust and thus are indirectly owned by Mr. Cleary.
John G. Chou for James Cleary 11/12/19
** Signature of Reporting PersonDate
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.
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 Number.
____________
Transaction Codes:
    L    Small acquisition under Rule 16a-6.
    P    Open market or private purchase of non-derivative or derivative security.
    4    A Form 4 Transaction.

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Filing Submission 0001127602-19-032537   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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