PDF FORM 4
[Pages:1]FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN 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
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1. Name and Address of Reporting Person *
Young Scrivner Annie
(Last)
(First)
2401 UTAH AVE. S. SUITE 800
(Middle)
(Street)
SEATTLE, WA 98134
2. Issuer Name and Ticker or Trading Symbol
Macy's, Inc. [M]
3. Date of Earliest Transaction (Month/Day/Year)
12/31/2015
4. If Amendment, Date Original Filed(Month/Day/Year)
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security (Instr. 3)
2. Transaction 2A. Deemed
3. Transaction 4. Securities Acquired 5. Amount of Securities
Date
Execution Date, if Code
(A) or Disposed of Beneficially Owned Following
(Month/Day/Year) any
(Instr. 8)
(D)
Reported Transaction(s)
(Month/Day/Year)
(Instr. 3, 4 and 5)
(Instr. 3 and 4)
(A) or Code V Amount (D) Price
6.
7. Nature
Ownership of Indirect
Form: Beneficial
Direct (D) Ownership
or Indirect (Instr. 4)
(I)
(Instr. 4)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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.
SEC 1474 (9-02)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of 2.
3. Transaction 3A. Deemed
4.
5. Number 6. Date Exercisable
Derivative Conversion Date
Execution Date, if Transaction of
and Expiration Date
Security or Exercise (Month/Day/Year) any
Code
Derivative (Month/Day/Year)
(Instr. 3) Price of
(Month/Day/Year) (Instr. 8) Securities
Derivative
Acquired
Security
(A) or
Disposed
of (D)
(Instr. 3,
4, and 5)
7. Title and Amount of Underlying Securities (Instr. 3 and 4)
8. Price of 9. Number of 10.
11. Nature
Derivative Derivative Ownership of Indirect
Security Securities Form of Beneficial
(Instr. 5) Beneficially Derivative Ownership
Owned
Security: (Instr. 4)
Following Direct (D)
Reported
or Indirect
Transaction(s) (I)
(Instr. 4)
(Instr. 4)
Date Exercisable
Expiration Date
Title
Code V (A) (D)
Amount or Number of Shares
Phantom
Stock
(1)
Units
12/31/2015
A
265
(2)
(2)
Common Stock
265
$ 42.47
(3)
265
D
Reporting Owners
Relationships Reporting Owner Name / Address
Director 10% Owner Officer Other
Young Scrivner Annie
2401 UTAH AVE. S. SUITE 800 SEATTLE, WA 98134
X
Signatures
/s/ Linda J. Balicki, as attorney-in-fact for Annie Young-Scrivner pursuant to a Power of Attorney
**Signature of Reporting Person
01/05/2016
Date
Explanation of Responses:
* 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). (1) 1-for-1 conversion. (2) Units are to be settled in Common Stock upon the reporting person's termination from the Board of Directors. (3) The price noted is the average of the value of the stock units granted each month during the quarter for which this report is filed.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 number.
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