SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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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| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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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). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
HALLIBURTON CO
[ HAL ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year)
01/30/2004
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4. 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 Acquired, Disposed of, or Beneficially Owned |
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| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
|
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14,340 |
D |
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock Equivalent Units |
|
01/30/2004 |
|
A |
|
359.505
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|
|
|
Common Stock |
359.505 |
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7,302.125 |
D |
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| Option to Buy Common Stock |
$51.5
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|
|
|
|
|
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05/17/2010 |
Common Stock |
1,000 |
|
1,000 |
D |
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| Option to Buy Common Stock |
$51
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|
|
|
|
|
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09/18/2010 |
Common Stock |
5,000 |
|
5,000 |
D |
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| Option to Buy Common Stock |
$43.656
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|
|
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03/19/2008 |
Common Stock |
1,000 |
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1,000 |
D |
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| Option to Buy Common Stock |
$45.35
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05/15/2011 |
Common Stock |
2,000 |
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2,000 |
D |
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| Option to Buy Common Stock |
$16.75
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|
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05/15/2012 |
Common Stock |
2,000 |
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2,000 |
D |
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| Option to Buy Common Stock |
$38.875
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11/20/2007 |
Common Stock |
500 |
|
500 |
D |
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| Explanation of Responses: |
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| Remarks: |
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Bruce A. Metzinger, by Power of Attorney |
02/02/2004 |
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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
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. |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, do hereby
constitute and appoint Margaret E. Carriere, Bruce A. Metzinger and Michael A.
Weberpal, or any of them acting alone, my true and lawful attorneys-in-fact and
agents, with full power of substitution and resubstitution, to prepare and sign
for me, and in my name, place and stead, in any and all capacities, any and all
reports as may from time to time be required under Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the rules, regulations and
requirements of the Securities and Exchange Commission in respect thereof, and
to file the same with the Securities and Exchange Commission, granting unto said
attorneys-in-fact and agents full power and authority to do and perform each and
every act and thing requisite and necessary to be done (with full power to each
of them to act alone), as fully and to all intents and purposes as I might or
could do in person, hereby ratifying and confirming all that said
attorneys-in-fact and agents or any of them, or their substitutes, may lawfully
do or cause to be done by virtue hereof.
This Power of Attorney shall remain in full force and effect until such
time that I am no longer a Section 16 Reporting Person, or until revoked by me
in writing, or five years from the date hereof, whichever comes first.
IN WITNESS WHEREOF, I hereto set my hand this 14th day of January, 2004.
/s/ Jay A. Precourt
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Jay A. Precourt
