FORM
5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
ANNUAL 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: |
3235-0362 |
Expires: |
January 31, 2014 |
Estimated average burden |
hours per response: |
1.0 |
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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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Form 3 Holdings Reported. |
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person
*
50 PUBLIC SQUARE, SUITE 1600 |
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(Street)
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2. Issuer Name
and
Ticker or Trading Symbol
Forest City Realty Trust, Inc.
[
FCEA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
X |
Other (specify below) |
Former 10% OWNER |
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3. Date of Earliest Transaction
(Month/Day/Year) 12/31/2017
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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 at end of Issuer's Fiscal
Year (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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Amount |
(A) or (D) |
Price |
Class A Common Stock
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06/12/2017 |
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J |
16,879,555
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A
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16,879,555
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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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(A) |
(D) |
Date
Exercisable |
Expiration
Date |
Title |
Amount or
Number of Shares |
Class B Common - Convertible
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$
0
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06/12/2017 |
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J |
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12,885,157
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08/08/1988
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08/08/1988
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Common Stock
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12,885,157
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0
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D
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Explanation of Responses: |
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Mark Tepsich, Attorney-In-Fact for RMS, Ltd. |
02/14/2018 |
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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. |
SEC FORMS 4 & 5
POWER OF ATTORNEY
The undersigned, designated by the Board of Directors as a Section 16 Company
Insider, hereby constitutes and appoints Mark Tepsich, with full power of
substitution and resubstitution, as attorney of the undersigned, their name,
place and stead, to sign and file under the Securities Exchange Act of 1934,
Section 16 Reporting Forms, any and all amendments and apply for EDGAR Access
Codes as required thereto, to be filed with the Securities and Exchange
Commission pertaining to such filing, with full power and authority to do and
perform any and all acts and things whatsoever required and necessary to be done
in the premises, hereby ratifying and approving the act of said attorney and any
such substitute.
EFFECTIVE as of March 5, 2013.
By: \s\ RMS LTD
Charles Ratner, G.P.