FORM 5 |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION |
OMB APPROVAL |
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b). |
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 |
OMB
Number: 3235-0362 |
1. Name and Address of Reporting Person* Bonderman, David |
2. Issuer Name and
Ticker or Trading Symbol |
6. Relationship
of Reporting Person(s)
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(Last) (First) (Middle) 301
Commerce Street, Suite 3300 |
3. I.R.S.
Identification Number
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4. Statement for Month/Day/Year 12/31/02 |
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(Street) Fort Worth, Texas 76102 |
5. If Amendment, Date of Original (Month/Year) |
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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(City) (State) (Zip) |
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of
Security |
2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities
Acquired (A) or Disposed of (D) |
5. Amount of |
6. Owner- |
7. Nature of
Indirect |
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Amount |
(A) |
Price |
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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). 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 |
FORM 5 (continued) |
Table II -
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of
Derivative Security |
2. Conver- |
3. Trans- |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4. Trans- |
5. Number of
Derivative Securities Acquired (A) or Disposed of (D) |
6. Date
Exercisable |
7. Title and
Amount of Underlying Securities |
8. Price of
Derivative Security |
9. Number of |
10. Owner- |
11. Nature of
Indirect Beneficial Ownership |
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(A) |
(D) |
Date Exercisable |
Expira- |
Title |
Amount or Number
of |
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Outside Director Stock
Option |
$29.61 |
04/17/02 |
N/A | A |
5,000 |
N/A | 04/17/02 |
04/17/12 |
Class B Common Stock |
5,000 |
N/A |
5,000 |
D |
N/A |
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Explanation of Responses: |
(1) A Power of Attorney authorizing James J. O'Brien to act on behalf of David Bonderman previously has been filed with the Securities and Exchange Commission. | DAVID
BONDERMAN By: /s/ James J. O'Brien James J. O'Brien, Attorney-in-Fact (1) **Signature of Reporting Person |
02/14/03 Date |
**Intentional
misstatements or omissions of facts constitute Federal Criminal
Violations. Note: File three
copies of this Form, one of which must be manually signed. 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. |