SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Bakish Robert M

(Last) (First) (Middle)
1515 BROADWAY

(Street)
NEW YORK NY 10036

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/15/2016
3. Issuer Name and Ticker or Trading Symbol
Viacom Inc. [ VIA, VIAB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Acting President and CEO
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class B Common Stock 83,914 D
Class B Common Stock 10 I By 401(k)
Class B Common Stock 185 I By Daughter
Class B Common Stock 57 I By Daughter
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy)(1) (2) 06/08/2018 Class B Common Stock 73,320 32.55 D
Employee Stock Option (Right to Buy)(3) (2) 05/25/2019 Class B Common Stock 69,930 49.95 D
Employee Stock Option (Right to Buy)(3) (2) 05/23/2020 Class B Common Stock 79,051 47.21 D
Employee Stock Option (Right to Buy)(3) (4) 05/22/2021 Class B Common Stock 61,444 69.56 D
Employee Stock Option (Right to Buy)(3) (5) 05/21/2022 Class B Common Stock 48,309 84.46 D
Employee Stock Option (Right to Buy)(3) (6) 05/20/2023 Class B Common Stock 73,193 65.92 D
Employee Stock Option (Right to Buy)(7) (8) 05/18/2024 Class B Common Stock 104,046 38.86 D
Restricted Share Units(3) (9) (9) Class B Common Stock 4,313 (3) D
Restricted Share Units(3) (10) (10) Class B Common Stock 7,104 (3) D
Restricted Share Units(3) (11) (11) Class B Common Stock 13,653 (3) D
Restricted Share Units(7) (12) (12) Class B Common Stock 34,740 (7) D
Explanation of Responses:
1. Granted under the Viacom Inc. 2006 Long-Term Management Incentive Plan, as amended and restated as of December 2, 2008, for no consideration.
2. Current.
3. Granted under the Viacom Inc. 2006 Long-Term Management Incentive Plan, as amended and restated as of January 1, 2011, for no consideration.
4. The remaining Stock Options, originally granted on May 22, 2013, will vest on May 22, 2017.
5. The remaining Stock Options, originally granted on May 21, 2014, will vest in two equal annual installments beginning on May 21, 2017.
6. The remaining Stock Options, originally granted on May 20, 2015, will vest in three equal annual installments beginning on May 20, 2017.
7. Granted under the Viacom Inc. 2016 Long-Term Management Incentive Plan for no consideration.
8. These Stock Options were granted on May 18, 2016 and will vest in four equal annual installments beginning May 18, 2017.
9. These remaining Restricted Share Units ("RSUs"), originally granted on May 22, 2013, will vest on May 22, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on the vest date.
10. These remaining RSUs, originally granted on May 21, 2014, will vest in two equal annual installments beginning on May 21, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
11. These remaining RSUs, originally granted on May 20, 2015, will vest in three equal annual installments beginning on May 20, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
12. These RSUs, granted on May 18, 2016, will vest in four equal annual installments beginning on May 18, 2017 and a corresponding number of Class B shares, net of any shares withheld by Viacom to satisfy tax liability incident to the vesting of the RSUs, will be delivered on each vest date.
Remarks:
/s/ Michael D. Fricklas, Attorney-in-Fact for Robert M. Bakish 11/25/2016
** 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 5 (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.
                                    VIACOM INC.
                                POWER OF ATTORNEY

     KNOW ALL MEN BY THESE PRESENTS that the undersigned hereby constitutes and
appoints Michael D. Fricklas to be his true and lawful attorney-in-fact and
agent to execute and file for and on behalf of the undersigned (i) any reports
on Forms 3, 4 and 5 (including any amendments thereto and any successors to such
Forms) with respect to ownership of securities of Viacom Inc. (the "Company"),
that the undersigned may be required to file with the Securities and Exchange
Commission in accordance with Section 16(a) of the Securities Exchange Act of
1934 and the rules thereunder and (ii) as necessary, any other documents
necessary or appropriate to obtain codes and passwords enabling the undersigned
to file such reports electronically.

     The undersigned acknowledges that the foregoing attorney-in-fact, in
serving in such capacity at the request of the undersigned, is not assuming, nor
is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorney-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 21st day of November, 2016.

                                      /s/ Robert M. Bakish
                                      ----------------------------------------
                                      Name:  Robert M. Bakish