| 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 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person
*
| C/O AMERICAN EXPRESS COMPANY |
| 200 VESEY STREET |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
05/02/2016
|
3. Issuer Name
and
Ticker or Trading Symbol
AMERICAN EXPRESS CO
[
AXP
]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
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)
|
|
No Securities Beneficially Owned
|
0
|
D
|
|
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 |
| Explanation of Responses: |
| Remarks: |
| Exhibit 24: Power of Attorney |
|
/s/ Emily T. Epstein, attorney-in-fact |
05/04/2016 |
|
** 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
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 by all these presents, that the undersigned hereby constitutes and
appoints each of Carol V. Schwartz, Michael Kuchs, Arelys Reyes, Emily Epstein
and David A. Kanarek, signing singly, the undersigned?s true and lawful
attorney-in-fact to:
1) prepare, execute for and on behalf of the undersigned, in the
undersigned?s name, place and stead in any and all capacities related to
securities of American Express Company (the ?Company?), any and all
filings by the undersigned with the United States Securities and
Exchange Commission (the ?SEC?) (a) pursuant to Section 16 of the
Securities Exchange Act of 1934 and the rules thereunder, as amended, and
(b) pursuant to Rule 144 under the Securities Act of 1933 and the rules
thereunder, as amended, and with respect to either of the foregoing
clauses (a) and (b), any other forms or reports the undersigned may be
required to file in connection with the undersigned?s ownership,
acquisition, or disposition of securities of the Company, including,
without limitation, Form ID;
2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete, execute and deliver any
such filing as described in paragraph (1) above, or other form or report,
and timely file such form or report with the SEC and any stock exchange
or similar authority; and
3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally required by, the
undersigned, it being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and
conditions as such attorney-in-fact may approve in such
attorney-in-fact?s discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper 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, with full power
of substitution or revocation, hereby ratifying and confirming all that
such attorney-in-fact, or such attorney-in-fact?s substitute or
substitutes, shall lawfully do or cause to be done by virtue of this
power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving
in such capacity at the request of the undersigned, are 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 and the
rules thereunder, as amended, or Rule 144 under the Securities Act of
1933 and the rules thereunder, as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file any such filing as described in
paragraph (1) above, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of April 25, 2016.
/s/ Ralph de la Vega
Ralph de la Vega
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