- Statement of Changes in Beneficial Ownership (4)
14 Janvier 2011 - 11:03PM
Edgar (US Regulatory)
FORM 4
[ ]
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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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Expires:
February 28, 2011
Estimated average burden
hours per response...
0.5
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Perkins Ralph Claud Christopher
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2. Issuer Name
and
Ticker or Trading Symbol
UniTek Global Services, Inc.
[
UNTK
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Executive Officer, FTS
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(Last)
(First)
(Middle)
C/O UNITEK GLOBAL SERVICES, INC.,, 1777 SENTRY PARKWAY WEST
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3. Date of Earliest Transaction
(MM/DD/YYYY)
1/10/2011
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(Street)
BLUE BELL, PA 19422
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. 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
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. 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
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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1747
(1)
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(2)
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9/27/2017
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Common Stock
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1747
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(1)
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0
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D
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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54
(1)
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(2)
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1/1/2019
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Common Stock
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54
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(1)
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0
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D
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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222
(1)
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(2)
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11/15/2019
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Common Stock
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222
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(1)
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0
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D
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Stock Option (right to buy)
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$9.42
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1/10/2011
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A
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2023
(1)
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(2)
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(3)
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Common Stock
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2023
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(1)
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2023
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D
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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3107
(4)
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(5)
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9/27/2017
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Common Stock
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9315
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(4)
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0
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D
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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394
(4)
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(5)
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1/1/2019
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Common Stock
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3689
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(4)
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0
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D
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Stock Option (right to buy)
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$56.00
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1/10/2011
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D
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1626
(4)
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(5)
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11/15/2019
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Common Stock
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787
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(4)
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0
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D
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Restricted Stock Units (RSUs)
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(6)
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1/10/2011
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A
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13393
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(7)
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(7)
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Common Stock
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13393
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(4)
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13393
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D
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Explanation of Responses:
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(
1)
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On January 10, 2011, the issuer cancelled, pursuant to the issuer's option exchange program, stock options granted to the
reporting person on September 27, 2007, January 1, 2009 and November 15, 2009, respectively. In exchange for these
cancelled stock options, the reporting person was granted 2,023 stock options on January 10, 2011 (the "Date of Grant").
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(
2)
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The stock options were fully vested as of the Date of Grant.
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(
3)
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The stock options will expire as follows: 1,747 stock options expire on September 27, 2017, 54 stock options expire on
January 1, 2019 and 222 stock options expire on November 15, 2019.
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(
4)
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On January 10, 2011, the issuer cancelled, pursuant to the issuer's option exchange program, stock options granted to the
reporting person on September 27, 2007, January 1, 2009 and November 15, 2009, respectively. In exchange for these
cancelled stock options, the reporting person received 13,393 restricted stock units ("RSUs") on the Date of Grant.
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(
5)
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The stock options vest ratably over a five year period beginning on September 27, 2007, January 1, 2009 and November 15,
2009, respectively. On January 10, 2011, the issuer cancelled, pursuant to the issuer's option exchange program, these
stock options and in exchange, the reporting person received 13,393 RSUs on the Date of Grant.
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(
6)
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The RSUs represent the right to receive one share of the issuer's common stock for each vested RSU.
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(
7)
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The RSUs will vest in accordance with the following schedule: 20% are vested as of the Date of Grant, and the remaining 80%
shall vest in 20% increments on each of July 1, 2011, July 1, 2012, July 1, 2013 and July 1, 2014; provided that the
reporting person remains in continuous employment or service with the issuer on each applicable vesting date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Perkins Ralph Claud Christopher
C/O UNITEK GLOBAL SERVICES, INC.,
1777 SENTRY PARKWAY WEST
BLUE BELL, PA 19422
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Chief Executive Officer, FTS
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Signatures
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/s/ Kyle M. Hall, Attorney-in-fact
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1/13/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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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:
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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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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 control number.
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