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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1. Name and Address of Reporting Person*
Lansberry Kevin A

(Last) (First) (Middle)
500 SOUTH BUENA VISTA STREET

(Street)
BURBANK CA 91521

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2023
3. Issuer Name and Ticker or Trading Symbol
Walt Disney Co [ DIS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim Chief Finan Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Disney Common Stock 12,687 D
Disney Common Stock 767.022(1) I By 401(k)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right-to-Buy) (2) 12/21/2026 Disney Common Stock 2,555 $105.21 D
Stock Option (Right-to-Buy) (2) 12/19/2027 Disney Common Stock 6,426 $111.58 D
Stock Option (Right-to-Buy) (2) 12/19/2028 Disney Common Stock 12,633 $110.5381 D
Stock Option (Right-to-Buy) (3) 12/17/2029 Disney Common Stock 15,404 $148.04 D
Stock Option (Right-to-Buy) (4) 12/17/2030 Disney Common Stock 4,490 $173.4 D
Stock Option (Right-to-Buy) (5) 03/08/2031 Disney Common Stock 3,608 $198.405 D
Stock Option (Right-to-Buy) (6) 06/22/2031 Disney Common Stock 4,773 $173.525 D
Stock Option (Right-to-Buy) (7) 12/14/2031 Disney Common Stock 10,386 $150.07 D
Stock Option (Right-to-Buy) (8) 12/15/2032 Disney Common Stock 8,611 $91.6175 D
Restricted Stock Unit (9) (9) Disney Common Stock 1,419 (10) D
Restricted Stock Unit (11) (11) Disney Common Stock 1,122 (10) D
Restricted Stock Unit (12) (12) Disney Common Stock 980 (10) D
Restricted Stock Unit (13) (13) Disney Common Stock 1,121 (10) D
Restricted Stock Unit (14) (14) Disney Common Stock 3,849 (10) D
Restricted Stock Unit (15) (15) Disney Common Stock 6,292 (10) D
Explanation of Responses:
1. Shares held in The Walt Disney Stock Fund as of July 1, 2023. The Fund is one investment option in the 401(k) Plan and contains Company matching contributions.
2. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The option is fully vested.
3. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests in a single installment of 3,851 shares on December 17, 2023.
4. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests in a single installment of 1,497 shares on December 17, 2023.
5. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests in a single installment of 1,203 shares on March 8, 2024.
6. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests in a single installment of 1,591 shares on June 22, 2024.
7. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests as to 1,731 shares on each December 14 of 2023 and 2024, and as to 1,731 shares on June 14, 2024.
8. Option was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the option vests as to 1,435 shares on each December 15 of 2023 and 2024, and on June 15, 2025; and as to 1,436 shares on June 15, 2024, and December 15, 2025.
9. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to its remaining 1,419 stock units on December 17, 2023.
10. Restricted stock units convert into common stock at 1-for-1.
11. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to its remaining 1,122 stock units on December 17, 2023.
12. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to its remaining 980 stock units on March 8, 2024.
13. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to its remaining 1,121 stock units on June 22, 2024.
14. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to 1,283 stock units on each December 14 of 2023 and 2024, and on June 14, 2024.
15. This restricted stock unit award was granted under the Company's Amended and Restated 2011 Stock Incentive Plan in a transaction exempt under Rule 16(b)-3. The unvested portion of the award is scheduled to vest as to 1,258 stock units on each December 15 of 2023 and 2024, and on each June 15 of 2024 and 2025; and as to 1,260 stock units on December 15, 2025.
Remarks:
/s/ Jolene E. Negre, as attorney-in-fact 07/10/2023
** 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 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).
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