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 |
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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). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
POLAROID HOLDING CO [ NONE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/27/2004 | ||||||||||||||||||||||||||
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 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 Cumulative Compounding Preferred Stock | 12/27/2004 | D | 135,901.25(1) | D | $101.69 | 0 | I | See footnotes(2)(3)(4)(5)(6)(7)(8) |
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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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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. Gives effect to the redemption by Polaroid Holding Company of all outstanding shares of its Series A 8.0% Cumulative Compounding Preferred Stock on the redemption date of December 27, 2004. |
2. OEP Co-Investors LLC ("OEP Co-Investors") has direct beneficial ownership of 1,621.1 shares of Series A 8.0% Cumulative Compounding Preferred Stock. OEP Co-Investors disclaims beneficial ownership of the 134,280.15 shares of Series A 8.0% Cumulative Compounding Preferred Stock held directly by One Equity Partners LLC. |
3. One Equity Partners LLC ("OEP") has direct beneficial ownership of 134,280.15 shares of Series A 8.0% Cumulative Compounding Preferred Stock. OEP disclaims benefical ownership of the 1,621.1 shares of Series A 8.0% Cumulative Compounding Preferred Stock held directly by OEP Co-Investors. |
4. OEP Holding Corporation ("OEP Holding") may be deemed to own beneficially and indirectly 135,901.25 shares of Series A 8.0% Cumulative Compounding Preferred Stock by virtue of its control over the managing members of both OEP and OEP Co-Investors. OEP Holding disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |
5. Bank One Investment Corporation ("BOIC") may be deemed to own beneficially and indirectly 135,901.25 shares of Series A 8.0% Cumulative Compounding Preferred Stock by virtue of its ownership of all the outstanding capital stock of OEP Holding. BOIC disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |
6. JPMorgan Capital Corporation ("JPM CC") may be deemed to own beneficially and indirectly 135,901.25 shares of Series A 8.0% Cumulative Compounding Preferred Stock by virtue of its ownership of all the outstanding capital stock of BOIC. JPM CC disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |
7. Banc One Financial LLC ("BOF LLC") may be deemed to own beneficially and indirectly 135,901.25 shares of Series A 8.0% Cumulative Compounding Preferred Stock by virtue of its ownership of all the outstanding capital stock of JPM CC. BOF LLC disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |
8. JPMorgan Chase & Co. ("JPMC") may be deemed to own beneficially and indirectly 135,901.25 shares of Series A 8.0% Cumulative Compounding Preferred Stock by virtue of its ownership of all the outstanding capital stock of BOF LLC. JPMorgan Chase & Co. disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. |
See Exhibit 99 | 02/17/2005 | |
** 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. |
EXHIBIT 99
JOINT FILER INFORMATION
Title of Security: |
Series A Preferred Cumulative Compounding Preferred Stock, par value $.001 per share |
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Issuer and Ticker Symbol |
Polaroid Holding Company |
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Designated Filer |
JPMorgan Chase & Co. |
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Other Joint Filers |
Banc One Financial LLC |
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JPMorgan Capital Corporation |
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Bank One Investment Corporation |
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OEP Holding Corporation |
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One Equity Partners LLC | |||
OEP Co-Investors LLC | |||
Signatures: |
JPMorgan Chase & Co. |
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By: |
/s/ Jay Mandelbaum |
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Name: |
Jay Mandelbaum |
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Title: |
Executive Vice President |
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Banc One Financial LLC |
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By: |
/s/ Heidi G. Miller |
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Name: |
Heidi G. Miller |
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Title: |
Chairman and President |
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JPMorgan Capital Corporation |
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By: |
/s/ Francisco Pereiro |
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Name: |
Francisco Pereiro |
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Title: |
Chairman |
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Bank One Investment Corporation |
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By: |
/s/ Richard M. Cashin, Jr. |
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Name: |
Richard M. Cashin, Jr. |
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Title: |
Chairman and President |
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OEP Holding Corporation |
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By: |
/s/ Richard M. Cashin, Jr. |
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Name: |
Richard M. Cashin, Jr. |
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Title: |
President |
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One Equity Partners LLC |
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By: |
/s/ Richard M. Cashin, Jr. |
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Name: |
Richard M. Cashin, Jr. |
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Title: |
President |
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OEP Co-Investors LLC |
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By: |
/s/ Richard M. Cashin, Jr. |
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Name: |
Richard M. Cashin, Jr. |
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Title: |
President |
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