- Initial Statement of Beneficial Ownership (3)
24 Setembro 2009 - 8:05PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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February 28, 2011
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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SUGERMAN JOSEPH HARRY
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2. Date of Event Requiring Statement (MM/DD/YYYY)
9/22/2009
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3. Issuer Name
and
Ticker or Trading Symbol
MGM MIRAGE [MGM]
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(Last)
(First)
(Middle)
3600 LAS VEGAS BLVD., S.
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
LAS VEGAS, NV 89109
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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 $.01 Par Value ND
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10000
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I
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Joseph Sugerman MD Inc Defined Benefit Plan dated 4/1/81
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Common Stock $.01 Par Value ND
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1000
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I
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Joseph Sugerman Trust
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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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 of Derivative Security: 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
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Expiration Date
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Title
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Amount or Number of Shares
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Call Option (Right to Buy)
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(1)
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1/16/2010
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Common Stock $.01 Par Value ND
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2000
(1)
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$40.00
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I
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Joseph H. Sugerman Living Trust
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Stock Appreciation Rights
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9/22/2010
(2)
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9/22/2016
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Common Stock $.01 Par Value ND
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20000
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$13.51
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D
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Explanation of Responses:
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(
1)
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Represented by 20 call option contracts with each call option contract giving the holder the right, but not the obligation, to buy a specified amount of shares of common stock at an exercise price of $40 on or before January 16, 2010. The 20 call option contracts expire on January 16, 2010.
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(
2)
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Stock Appreciation Rights (SARs) granted under MGM MIRAGE Amended and Restated 2005 Omnibus Incentive Plan. The SARs will vest in four equal annual installments beginning on September 22, 2010.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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SUGERMAN JOSEPH HARRY
3600 LAS VEGAS BLVD., S.
LAS VEGAS, NV 89109
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X
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Signatures
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Troy McHenry, Attorney-In-Fact
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9/24/2009
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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