SEC Form 5
FORM 5 | 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 or Section 30(h) of the Investment Company Act of 1940 |
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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. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol CABLEVISION SYSTEMS CORP /NY [ CVC ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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 Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Cablevision NY Group Class B Common Stock | (1) | 09/30/2015 | G | 242,162 | (1) | (1) | Cablevision NY Group Class A Common Stock | 242,162 | $0.00(2) | 9,277,891 | I(3)(4) | By CFD 2015 GRAT #1C | ||
Cablevision NY Group Class B Common Stock | (1) | 09/30/2015 | G | 242,162 | (1) | (1) | Cablevision NY Group Class A Common Stock | 242,162 | $0.00(2) | 1,415,795 | I(4)(5) | By CFD 2009 Revocable Trust | ||
Cablevision NY Group Class B Common Stock | (1) | 09/30/2015 | G | 176,634 | (1) | (1) | Cablevision NY Group Class A Common Stock | 176,634 | $0.00(2) | 6,767,315 | I(6)(7) | By HAD 2015 GRAT #1C | ||
Cablevision NY Group Class B Common Stock | (1) | 09/30/2015 | G | 176,634 | (1) | (1) | Cablevision NY Group Class A Common Stock | 176,634 | $0.00(2) | 1,032,685 | I(7)(8) | By HAD 2009 Revocable Trust | ||
Cablevision NY Group Class B Common Stock | (1) | 12/31/2015 | G | 1,173,633 | (1) | (1) | Cablevision NY Group Class A Common Stock | 1,173,633 | $0.00(2) | 9,277,891 | I(3)(4) | By CFD 2015 GRAT #1C | ||
Cablevision NY Group Class B Common Stock | (1) | 12/31/2015 | G | 1,173,633 | (1) | (1) | Cablevision NY Group Class A Common Stock | 1,173,633 | $0.00(2) | 1,415,795 | I(4)(5) | By CFD 2009 Revocable Trust | ||
Cablevision NY Group Class B Common Stock | (1) | 12/31/2015 | G | 856,051 | (1) | (1) | Cablevision NY Group Class A Common Stock | 856,051 | $0.00(2) | 6,767,315 | I(6)(7) | By HAD 2015 GRAT #1C | ||
Cablevision NY Group Class B Common Stock | (1) | 12/31/2015 | G | 856,051 | (1) | (1) | Cablevision NY Group Class A Common Stock | 856,051 | $0.00(2) | 1,032,685 | I(7)(8) | By HAD 2009 Revocable Trust |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Cablevision NY Group Class B Common Stock (the "Class B Common Stock") of the Issuer is convertible at the option of the holder on a share for share basis into Cablevision NY Group Class A Common Stock (the "Class A Common Stock") of the Issuer. |
2. Gift. |
3. These securities are owned solely by the Charles F. Dolan 2015 Grantor Retained Annuity Trust #1C. Charles F. Dolan is the sole trustee and beneficiary of the trust. |
4. Helen A. Dolan disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that she is, for purposes of Section 16 or for any other purpose, the beneficial owner of such securities. |
5. Charles F. Dolan is the sole trustee and beneficiary of the Charles F. Dolan 2009 Revocable Trust. |
6. These securities are owned solely by the Helen A. Dolan 2015 Grantor Retained Annuity Trust #1C. Helen A. Dolan is the sole trustee and beneficiary of the trust. |
7. Charles F. Dolan disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that he is, for purposes of Section 16 or for any other purpose, the beneficial owner of such securities. |
8. Helen A. Dolan is the sole trustee and beneficiary of the Helen A. Dolan 2009 Revocable Trust. |
Remarks: |
/s/ Renzo Mori, as Attorney-in-Fact for Charles F. Dolan | 01/22/2015 | |
/s/ Renzo Mori, as Attorney-in-Fact for Helen A. Dolan | 01/22/2015 | |
** Signature of Reporting Person | Date | |
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. |