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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ADVANCED MICRO DEVICES INC [ AMD ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2022 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 08/08/2022 | G | 70,449(1) | D | $0 | 0 | I | By Grantor Retained Annuity Trust | |||||||
Common Stock | 3,055,593(2) | D | |||||||||||||
Common Stock | 74,471(3) | I | By Grantor Retained Annuity Trust 2021A | ||||||||||||
Common Stock | 137,550(4) | I | By Grantor Retained Annuity Trust 2021B | ||||||||||||
Common Stock | 181,195(5) | I | By Grantor Retained Annuity Trust 2021C | ||||||||||||
Common Stock | 200,000(2) | I | By Grantor Retained Annuity Trust LTS 2022 GRAT A(6) | ||||||||||||
Common Stock | 206,784 | I | By Grantor Retained Annuity Trust LTS 2022 GRAT B(6) |
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) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative 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 Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. The Reporting Person's May 18, 2020 Grantor Retained Annuity Trust ("GRAT") was terminated and 63,004 shares were distributed to the Reporting Person as the trustee and sole annuitant of the GRAT, reflected on the Reporting Person's Form 4 on August 9, 2022. The remaining 70,449 shares were transferred as a gift. |
2. On December 8, 2022, the Reporting Person contributed 200,000 shares of the Issuer's Common Stock to a GRAT (LTS 2022 GRAT A) for which the Reporting Person serves as a trustee and sole annuitant. |
3. On December 8, 2022, the Reporting Person transferred 125,529 shares from GRAT 2021A to LTS 2022 GRAT B. |
4. On December 8, 2022, the Reporting Person transferred 62,450 shares from GRAT 2021B to LTS 2022 GRAT B. |
5. On December 8, 2022, the Reporting Person transferred 18,805 shares from GRAT 2021C to LTS 2022 GRAT B. |
6. Reporting Person serves as a trustee and sole annuitant. |
Remarks: |
/s/Linda Lam by Power of Attorney for Lisa T. Su | 02/08/2023 | |
** 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. |