SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF 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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O AVNET, INC. |
2211 SOUTH 47TH STREET |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/04/2004
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3. Issuer Name and Ticker or Trading Symbol
AVNET INC
[ AVT ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
Vice President |
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5. 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 Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
2,988
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D |
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Common Stock |
760 |
I |
By Wilkins-Feldberg Family Trust |
Common Stock |
575 |
I |
By Spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Employee Stock Option (right to buy) |
11/15/1996
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11/14/2005 |
Common Stock |
6,000 |
23.5 |
D |
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Employee Stock Option (right to buy) |
11/15/1996
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11/14/2005 |
Common Stock |
4,000 |
23.5 |
D |
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Employee Stock Option (right to buy) |
09/18/1997
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09/17/2006 |
Common Stock |
10,000 |
24.38 |
D |
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Employee Stock Option (right to buy) |
09/25/1998
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09/24/2007 |
Common Stock |
3,000 |
31.63 |
D |
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Employee Stock Option (right to buy) |
09/25/1998
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09/24/2007 |
Common Stock |
5,000 |
31.63 |
D |
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Employee Stock Option (right to buy) |
09/25/1999
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09/24/2008 |
Common Stock |
8,000 |
17.88 |
D |
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Employee Stock Option (right to buy) |
09/25/1999
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09/24/2008 |
Common Stock |
12,000 |
17.88 |
D |
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Employee Stock Option (right to buy) |
09/24/2000
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09/23/2009 |
Common Stock |
4,000 |
21.5 |
D |
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Employee Stock Option (right to buy) |
09/24/2000
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09/23/2009 |
Common Stock |
8,000 |
21.5 |
D |
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Employee Stock Option (right to buy) |
09/29/2001
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09/28/2010 |
Common Stock |
15,000 |
28.75 |
D |
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Employee Stock Option (right to buy) |
01/26/2002
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01/25/2011 |
Common Stock |
6,000 |
26 |
D |
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Employee Stock Option (right to buy) |
01/26/2002
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01/25/2011 |
Common Stock |
19,000 |
26 |
D |
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Employee Stock Option (right to buy) |
09/20/2003
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09/19/2012 |
Common Stock |
30,000 |
12.95 |
D |
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Employee Stock Option (right to buy) |
09/19/2004
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09/18/2013 |
Common Stock |
30,000 |
18.13 |
D |
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Employee Stock Option (right to buy) |
05/13/2005
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05/12/2014 |
Common Stock |
50,000 |
21.92 |
D |
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Explanation of Responses: |
Remarks: |
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Catherine R. Hardwick, by power of attorney |
07/13/2004 |
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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
5
(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. |
AVNET, INC.
LIMITED POWER OF ATTORNEY
FOR SECTION 16 REPORTING OBLIGATIONS
Know all by these presents that the undersigned hereby makes,
constitutes and appoints each of David R. Birk, R. Neil Taylor and Catherine
R. Hardwick, each acting individually, as the undersigned's true and lawful
attorney-in-fact, with full power and authority as hereinafter described on
behalf of and in the name, place and stead of the undersigned to:
(1) prepare and execute Forms 3, 4 and 5 (including any amendments
thereto) with respect to the common stock of Avnet, Inc., a New York
corporation (the "Company"), and to file the same with the United States
Securities and Exchange Commission, any national securities exchanges and the
Company, as considered necessary or advisable under Section 16(a) of the
Securities Exchange Act of 1934 and the rules and regulations promulgated
thereunder, as amended from time to time (the "Exchange Act") and the
Sarbanes-Oxley Act of 2002;
(2) seek or obtain, as the undersigned's representative and on the
undersigned's behalf, information on transactions in the Company's common
stock from any third party, including brokers, employee benefit plan
administrators and trustees, and the undersigned hereby authorizes any such
person to release any such information to the undersigned and approves and
ratifies any such release of information; and
(3) perform any and all other acts (including, but not limited to,
the filing of Form ID to obtain EDGAR Access Codes) which in the discretion
of such attorney-in-fact are necessary or desirable for and on behalf of the
undersigned in connection with the foregoing.
The undersigned acknowledges that:
(a) any documents prepared and/or executed by any of such attorneys-in-
fact on behalf of the undersigned pursuant to this power of attorney will be
in such form and will contain such information and disclosure as such
attorney-in-fact, in his or her discretion, deems necessary or desirable;
(b) this power of attorney authorizes, but does not require, each such
attorney-in-fact to act in his or her discretion on information provided to
such attorney-in-fact without independent verification of such information;
(c) neither the Company nor any of such attorneys-in-fact assumes (i)
any liability for the undersigned's responsibility to comply with the
requirements of the Exchange Act, (ii) any liability of the undersigned for
any failure to comply with such requirements, or (iii) any obligation or
liability of the undersigned for profit disgorgement under Section 16(b) of
the Exchange Act; and
(d) this power of attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under the
Exchange Act, including without limitation the reporting requirements under
Section 16(a) of the Exchange Act.
The undersigned hereby gives and grants each of the foregoing
attorneys-in-fact full power and authority to do and perform all and every
act and thing whatsoever requisite, necessary or appropriate to be done in
and about the foregoing matters as fully to all intents and purposes as the
undersigned might or could do if present, hereby ratifying all that each such
attorney-in-fact of, for and on behalf of the undersigned shall lawfully do
or cause to be done by virtue of this power of attorney.
This power of attorney shall remain in full force and effect until
revoked by the undersigned in a signed writing delivered to the Corporate
Secretary of the Company.
IN WITNESS WHEREOF, the undersigned has caused this power of attorney
to be executed as of this 2nd day of July, 2004.
/s/ Harley Feldberg
Signature
Harley Feldberg
Print Name
STATE OF ARIZONA )
:
COUNTY OF MARICOPA)
On the 2nd day of July, 2004, Harley Feldberg personally appeared before me
and acknowledged that he executed the foregoing instrument for the purposes
therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/ Shirley J. Straw
Notary Public
My Commission Expires: Nov. 19, 2005