| 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. | |||||||||||||||||
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Form 4 Transactions Reported. | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
PEPSIAMERICAS INC/IL/ [ PAS ] |
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) 01/01/2005 | ||||||||||||||||||||||||||
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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 | |||||||||||||
| Common Stock | 02/02/2004 | P4 | 250 | A | $17.47 | 114,437(1) | I | By trust | |||||||
| Common Stock | 02/19/2004 | G5 | 200 | D | $0 | 114,237 | I | By trust | |||||||
| Common Stock | 12/15/2004 | G5 | 21,333(2) | D | $0 | 213,977(3) | D | ||||||||
| Common Stock | 12/15/2004 | G5 | 21,333(2) | A | $0 | 135,570 | I | By trust | |||||||
| Common Stock | 12/17/2004 | G5 | 600 | D | $0 | 134,970 | I | By trust | |||||||
| Common Stock | 12/17/2004 | G5 | 300 | D | $0 | 134,670 | I | By trust | |||||||
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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 | |||||||||
| Explanation of Responses: |
| 1. The starting point for the running tally of indirect beneficial ownership is 114,187 shares. This number represents the 113,217 shares reported as indirectly beneficially owned by the reporting person on his last filed report plus 970 shares gifted in fiscal year 2005 that are the subject of a separate Form 5. |
| 2. This transaction is exempt from Section 16 pursuant to Rule 16a-13 and is reported simply to reconcile changes in the reporting person's direct and indirect beneficial ownership. |
| 3. Reflects adjustments to direct beneficial ownership set forth in the reporting person's last filed report. Includes shares underlying the following restricted stock awards: (a) 31,800 shares under an award granted on February 16, 2004, which vests in its entirety on February 16, 2007, (b) 70,000 shares under an award granted on February 24, 2005, which vests in its entirety on February 24, 2008, and (c) 69,000 shares under an award granted on February 23, 2006, which vests in its entirety on February 23, 2009. |
| /s/ Brian D. Wenger, attorney-in-fact | 03/10/2006 | |
| ** 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. | ||