5 1 federman5.txt 5 1 NASD 0001192391 Director Centillium Communications, Inc. 0001107194 94-3263530 12/31/02 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. [ ] Form 3 Holdings Reported [ ] Form 4 Transactions Reported 1. Name and Address of Reporting Person(s) Federman, Irwin 47211 Lakeview Blvd. Fremont, CA 94538 2. Issuer Name and Ticker or Trading Symbol Centillium Communications, Inc. (CTLM) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 12/02 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) Board Member 7. 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 Acquired, Disposed of, or Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code Amount D Price End of Year I ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 40,891 D Direct Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code A D Exercisable Expiration ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option $4.1200 08/01/02 A 5,000 08/01/03 08/01/12 (right to buy) Non-Qualified Stock Option $5.1500 (1) 10/30/11 (right to buy) Non-Qualified Stock Option $13.1000 03/15/02 A 2,000 03/15/03 03/15/12 (right to buy) Non-Qualified Stock Option $19.0000 (2) 05/23/10 (right to buy) Non-Qualified Stock Option $37.1500 (3) 04/12/11 (right to buy) Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Year ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option 08/01/02 Common Stock 5,000 5,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 40,000 40,000 D Direct (right to buy) Non-Qualified Stock Option 03/15/02 Common Stock 2,000 2,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 20,000 20,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 20,000 20,000 D Direct (right to buy) Explanation of Responses: - (1) 1/4th vest on 10/30/02, 1/4th vest each year thereafter. (2) 1/4th vest on 5/23/01, 1/4th vest each year thereafter. (3) 1/4th vest on 4/12/02, 1/4th vest each year thereafter.
SIGNATURE OF REPORTING PERSON /S/ Darrel Slack _____________________________________ Darrel Slack, Attorney-in-fact for Irwin Federman DATE 02/11/03