FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person
*
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2. Issuer Name
and
Ticker or Trading Symbol
COTT CORP /CN/ [ COT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __ X __ Officer (give title below) _____ Other (specify below) SVP, Corporate Resources |
175 MERIDENE CRESCENT |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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LONDON, A6 N5X 1G3 |
4. 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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security
(Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Shares | 11/1/2004 | M | 20000 | A | $6.95 (1) | 40091.348 | D | |||
Common Shares | 11/1/2004 | M | 25000 | A | $8.09 (2) | 65091.348 | D | |||
Common Shares | 11/1/2004 | S | 2000 | D | $25.81 (3) | 63091.348 | D | |||
Common Shares | 11/1/2004 | S | 2000 | D | $25.84 (4) | 61091.348 | D | |||
Common Shares | 11/1/2004 | S | 2000 | D | $25.87 (5) | 59091.348 | D | |||
Common Shares | 11/1/2004 | S | 3000 | D | $25.88 (6) | 56091.348 | D | |||
Common Shares | 11/1/2004 | S | 5000 | D | $25.89 (7) | 51091.348 | D | |||
Common Shares | 11/1/2004 | S | 2000 | D | $25.9 (8) | 49091.348 | D | |||
Common Shares | 11/1/2004 | S | 9000 | D | $25.92 (9) | 40091.348 | D | |||
Common Shares | 11/1/2004 | S | 4000 | D | $25.94 (10) | 36091.348 | D | |||
Common Shares | 11/1/2004 | S | 10000 | D | $25.96 (11) | 26091.348 | D | |||
Common Shares | 11/1/2004 | S | 4000 | D | $25.99 (12) | 22091.348 | D | |||
Common Shares | 11/1/2004 | S | 2000 | D | $26 (13) | 20091.348 (14) | D |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options | $6.95 (15) | 11/1/2004 | M | 20000 | (16) | 9/8/2005 | Common Shares | 20000 | $0 | 0 (17) | D | ||||
Stock Options | $8.09 (18) | 11/1/2004 | M | 25000 | (19) | 9/14/2005 | Common Shares | 25000 | $0 | 0 (20) | D |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
WALKER COLIN
175 MERIDENE CRESCENT LONDON, A6 N5X 1G3 |
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SVP, Corporate Resources |
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Signatures
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Andrea Szanto, by power of attorney | 11/2/2004 | |
** Signature of Reporting Person |
Date
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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. |
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