Form 4 TIVO INC For: Dec 19 Filed by: Kovar Pavel
December 19, 2014 7:17 PM EST
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
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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).
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1. Name and Address of Reporting Person
*
(Street)
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2. Issuer Name
and
Ticker or Trading Symbol
TIVO INC
[
TIVO
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
Principal Accounting Officer |
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3. Date of Earliest Transaction
(Month/Day/Year) 12/19/2014
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check
Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting
Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1.
Title of Security (Instr.
3)
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2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
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4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
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6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7.
Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock
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12/19/2014 |
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S |
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3,000.00
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D
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$
11.8628
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77,029
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D
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
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By: Attorney-in-fact Jacob Starkweather For: Pavel Kovar |
12/19/2014 |
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** 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. |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: THAT I, Pavel Kovar, do
hereby appoint Phyllis Mesec, Jacob Starkweather, Julie Pizelo,
and Laurence A.Denny, each acting individually, my true and
lawful attorneys for me and in my name for the purpose of:
(1) Executing on my behalf any Initial Statement of
Beneficial Ownership of Securities on Form 3, any Statement of
Changes in Beneficial Ownership of Securities on Form 4, any
Annual Statement of Changes in Beneficial Ownership of
Securities on Form 5 and any additional forms that may be
promulgated pursuant to Section 16 of the Securities Exchange
Act of 1934, as amended, or any amendments thereto, in
connection with my transactions in shares of TiVo Inc. common
stock and causing such forms to be filed with the U.S.
Securities and Exchange Commission, the NASDAQ and/or any other
appropriate stock exchange; and
(2) Taking any other action in connection with the
foregoing, included but not limited to any actions necessary
to acquire, update, or change any codes, passwords or related
information to enable the necessary filings with the SEC,
which, in the opinion of any of such attorneys-in-fact, may be
of benefit to, in the best interest of, or legally required
by, the undersigned, it being understood that the forms
executed by any of such attorneys-in-fact on behalf of the
undersigned pursuant to the Power of Attorney shall be in
such form and shall contain such terms and conditions as any
of such attorneys-in-fact may approve in their discretion.
The undersigned acknowledges that:
(1) Neither the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned,
not TiVo Inc. are assuming any of the undersigned?s
responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934; and
(2) This Power of Attorney authorizes, but does not
require, any of the foregoing attorneys-in-fact or TiVo Inc.
to act in their discretion on information provided to such
attorneys-in-fact without independent verification of such
information.
The undersigned hereby grants to each of the
foregoing attorneys-in-fact full power and authority to do
and perform any and every act and thing whatsoever requisite,
necessary or appropriate to be done in the exercise of any of
the rights and powers herein granted, as fully to all intents
and purposes as the undersigned might or could do
if personally present, hereby ratifying and confirming all
that any of such attorneys-in-fact, shall lawfully do or
cause to be done by virtue of this Power of Attorney.
This Power of Attorney shall remain in effect until
revoked in writing by the undersigned.
IN WITNESS WHEREOF, I have hereunto set my hand this
on the 30th day of October 2014.
/s/ Pavel Kovar
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