SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
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: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
 |
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
| BOEING AVENUE 53 |
| 1119 PE SCHIPHOL-RIJK |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
Liberty Global, Inc.
[ LBTY ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| President & COO--UPC Broadband |
|
3. Date of Earliest Transaction
(Month/Day/Year) 05/01/2010
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form 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 Following Reported Transaction(s) (Instr.
3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
7. Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
Amount |
(A) or (D) |
Price |
| Series A common stock |
05/02/2010 |
|
F
|
|
506 |
D |
$27.48
|
17,357 |
D |
|
| Series C common stock |
05/02/2010 |
|
F
|
|
506 |
D |
$27.08
|
38,392 |
D |
|
| Series A common stock |
|
|
|
|
|
|
|
1,873 |
I |
by 401(k) Plan |
| Series C common stock |
|
|
|
|
|
|
|
4,940
|
I |
by 401(k) Plan |
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)
|
| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock Appreciation Rights |
$27.48
|
05/01/2010 |
|
A |
|
59,472 |
|
|
05/01/2017 |
Series A Common |
59,472 |
$0
|
59,472 |
D |
|
| Stock Appreciation Rights |
$27.08
|
05/01/2010 |
|
A |
|
59,472 |
|
|
05/01/2017 |
Series C Common |
59,472 |
$0
|
59,472 |
D |
|
| Explanation of Responses: |
| Remarks: |
|
Michelle L. Keist, Attorney-in-Fact for Gene Musselman |
05/04/2010 |
|
** 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. |
rrd245632_277384.html
Exhibit 24
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints each of
Elizabeth M. Markowski and Michelle L. Keist, signing singly, the undersigned's true and lawful
attorney-in-fact to:
1. Execute for and on behalf of the undersigned a Form 4 in accordance with
Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; and
2. Do and perform any and all acts for and on behalf of the undersigned which may
be necessary or desirable to complete and execute any such Form 4, complete and execute any
amendment or amendments thereto, and timely file such form with the United States Securities
and Exchange Commission and any stock exchange or similar authority.
The undersigned hereby grants to each such attorney-in-fact full power and authority to
do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done
in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes
as the undersigned might or could do if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-
fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of
attorney and the rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not
assuming, nor is Liberty Global, Inc. ("Liberty Global") assuming, any of the undersigned's
responsibilities to comply with Section 16 of the Securities Act of 1934, and the undersigned
agrees to indemnify and hold harmless each of the attorneys-in-fact from any liability or expense
based on or arising from any action taken or not taken pursuant to this Power of Attorney.
The attorneys-in fact have the right to request that the undersigned provide as soon as
possible written confirmation of the transaction and the signing and filing of a Form 4 on behalf
of the undersigned.
This Power of Attorney shall remain in full force and effect until the undersigned is no
longer required to file Form 4 with respect to the undersigned's holdings of and transactions in
securities issued by Liberty Global, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 30th day of June, 2005.
/s/ Gene Musselman
Signature
Gene Musselman
Print Name