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
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Dalimonte Christa A

(Last) (First) (Middle)
1515 BROADWAY

(Street)
NEW YORK NY 10036

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/15/2017
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)
EVP, General Counsel & Secy
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)
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) 05/22/2021 Class B Common Stock 7,680 69.56 D
Employee Stock Option (Right to Buy)(1) (3) 05/21/2022 Class B Common Stock 6,039 84.46 D
Employee Stock Option (Right to Buy)(1) (4) 05/20/2023 Class B Common Stock 10,979 65.92 D
Employee Stock Option (Right to Buy)(5) (6) 05/18/2024 Class B Common Stock 13,873 38.86 D
Restricted Share Units(1) (7) (7) Class B common Stock 539 (1) D
Restricted Share Units(1) (8) (8) Class B Common Stock 888 (1) D
Restricted Share Units(1) (9) (9) Class B Common Stock 2,049 (1) D
Restricted Share Units(5) (10) (10) Class B Common Stock 4,632 (5) D
Explanation of Responses:
1. Granted under the Viacom Inc. 2006 Long-Term Management Incentive Plan, as amended and restated as of January 1, 2011, for no consideration.
2. The remaining Stock Options, originally granted on May 22, 2013, will vest on May 22, 2017.
3. The remaining Stock Options, originally granted on May 21, 2014, will vest in two equal annual installments beginning May 21, 2017.
4. The remaining Stock Options, originally granted on May 20, 2015, will vest in three equal annual installments beginning May 20, 2017.
5. Granted under the Viacom Inc. 2016 Long-Term Management Incentive Plan for no consideration.
6. These Stock Options were granted on May 18, 2016 and will vest in four equal annual installments beginning May 18, 2017.
7. 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.
8. 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.
9. 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.
10. 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/ Christa A. D'Alimonte 04/18/2017
** 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 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.