SEC Filings


4
LINEBARGER NORMAN THOMAS filed this Form 4 on 10/03/2017
Entire Document
 
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
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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*
LINEBARGER NORMAN THOMAS

(Last) (First) (Middle)
500 JACKSON STREET

(Street)
COLUMBUS IN 47201

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CUMMINS INC [ CMI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman & CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/30/2017
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
Common 08/30/2017 G V 16,266 A $0.0000 40,873(1) D
Common 09/06/2017 G V 15,000 A $0.0000 55,873(2) D
Common 08/31/2017 G V 3,082 A $0.0000 9,539(1) I By Child #1
Common 08/31/2017 G V 3,082 A $0.0000 9,539(1) I By Child #2
Common 08/30/2017 G V 16,266 D $0.0000 6,164(1) I GRAT #1
Common 08/31/2017 G V 3,082 D $0.0000 3,082(1) I GRAT #1
Common 08/31/2017 G V 3,082 D $0.0000 0.0000(1) I GRAT #1
Common 09/06/2017 G V 15,000 D $0.0000 27,386(2) I GRAT #2
Common 7,515.67(3) I By 401(k) Plan
Common 240 I By Spouse
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 Option (Right-to-Buy) $19.42 03/02/2011 03/02/2019 Common 24,830 24,830 D
Stock Option (Right-to-Buy) $58.115 03/01/2012 03/01/2020 Common 16,360 16,360 D
Stock Option (Right-to-Buy) $109.09 04/04/2019 04/04/2026 Common 131,920 131,920 D
Stock Option (Right-to-Buy) $111.84 04/02/2015 04/02/2023 Common 60,100 60,100 D
Stock Option (Right-to-Buy) $119.77 05/02/2013 05/02/2021 Common 13,040 13,040 D
Stock Option (Right-to-Buy) $120.28 04/02/2014 04/02/2022 Common 37,510 37,510 D
Stock Option (Right-to-Buy) $136.82 04/02/2018 04/02/2025 Common 60,780 60,780 D
Stock Option (Right-to-Buy) $149.34 04/02/2017 04/02/2024 Common 44,890 44,890 D
Stock Option (Right-to-Buy) $149.72 04/03/2020 04/03/2027 Common 85,050 85,050 D
Explanation of Responses:
1. Upon termination of the Grantor Retained Annuity Trust #1 by the reporting person, a total of 6,164 shares (3,082 shares each) were distributed to trusts for the benefit of two of the reporting person's children of which the reporting person is the sole trustee and the remaining 16,266 shares in the Grantor Retained Annuity Trust #1 were distributed to The Norman Thomas Linebarger Revocable Trust.
2. Return of shares from the Grantor Retained Annuity Trust #2.
3. The number of shares is based on the dollar value of the reporting person's interest in the Cummins Stock Fund under the Company's 401(k) plan as most recently provided by the plan. The actual number of shares underlying the interest is not known since the Cummins Stock Fund is a unitized account consisting of approximately 98% common stock and 2% cash or cash equivalents.
/s/ Mark Sifferlen, Attorney-In-Fact 10/03/2017
** 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).
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