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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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o | Form 3 Holdings Reported | ||
o | Form 4 Transactions Reported | ||
(Print or Type Responses) |
1. Name and Address of Reporting Person* Gibara Samir G. |
2. Issuer Name and Ticker or Trading Symbol International Paper Company: IP |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable) x Director o 10% Owner o Officer o Other (specify below) (give title below) |
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(Last) (First) (Middle) c/o International Paper Company 400 Atlantic Street |
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) |
4. Statement for Month/Year 12/2002 |
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(Street) Stamford CT 06921 |
5. If Amendment, Date of Original (Month/Year) |
7. Individual or Joint/Group Reporting (Check Applicable Line) x Form filed by One Reporting Person o Form filed by More than One Reporting Person |
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(City) (State) (Zip) | Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||
1. Title of Security (Instr. 3) |
2. Trans- action Date (Month/ Day/ Year) |
2A. Deemed Execution Date, if any (Month/ Day/ Year) |
3. Trans- action Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) |
6. Owner- ship Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Amount | (A) or (D) |
Price | ||||||||
Common Stock | 3,116 | D | ||||||||
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). | |
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
FORM 5 (continued)
Table II -- Derivative Securities Acquired,
Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) |
2. Conver- sion or Exercise Price of Deri- vative Security |
3. Trans- action Date (Month/ Day/ Year) |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4. Trans- action Code (Instr. 8) |
5. Number of Deriv- ative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5 |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Deriv- ative Security (Instr. 5) |
9. Number of Deriv- ative Securities Bene- ficially Owned at End of Year (Instr. 4) |
10. Owner- ship of Deriva- tive Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Benefi- cial Owner- ship (Instr. 4) |
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(A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
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Common Stock Units | 1/1/02 | 300 | Common Stock Units (CSU) | 300 | |||||||||||
Common Stock Units | 5/7/02 | 1,750 | CSU | 1,750 | 3,009(1)(3) | I | (2) | ||||||||
Explanation of Responses:
1. | Share amounts are rounded. |
2. | Securities reported relate to securities obtained and owned in connection with the Deferred Compensation Plan for Non-Employee Directors. |
3. | Includes 66 units acquired through the Dividend Reinvestment feature of the Deferred Compensation Plan for Non-Employee Directors. |
/s/ John E. Walendzik | January 28, 2003 | |
** Signature of Reporting Person | Date | |
By: John E. Walendzik, Attorney-in-Fact for Samir G. Gibara |
** | Intentional misstatements or omissions of facts constitute
Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. |
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