SEC FORM 3 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
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Humes William David

(Last) (First) (Middle)
C/O INGRAM MICRO INC.
1600 E. ST. ANDREW PLACE

(Street)
SANTA ANA CA 92705

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/13/2004
3. Issuer Name and Ticker or Trading Symbol
INGRAM MICRO INC [ IM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP & CFO Designee
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)
No securities beneficially owned 0 D
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
Options to purchase(1) (2) 09/29/2006 Class A Common Stock 8,000 53.563 D
Options to purchase(1) (2) 01/31/2007 Class A Common Stock 2,195 30.375 D
Options to purchase(1) (2) 09/30/2009 Class A Common Stock 12,040 12.5625 D
Options to purchase(3) (2) 11/07/2009 Class A Common Stock 3,500 12.75 D
Options to purchase(1) (2) 01/31/2010 Class A Common Stock 13,053 11.6875 D
Options to purchase(4) (2) 07/02/2010 Class A Common Stock 6,597 17.375 D
Options to purchase(4) (2) 01/31/2011 Class A Common Stock 7,980 16.42 D
Options to purchase(4) (2) 07/01/2011 Class A Common Stock 8,820 14.39 D
Options to purchase(5) (2) 09/27/2011 Class A Common Stock 1,050 12.9 D
Options to purchase(4) (6) 01/31/2012 Class A Common Stock 25,350 17.9 D
Options to purchase(4) (7) 06/30/2012 Class A Common Stock 14,700 13.03 D
Options to purchase(5) (8) 12/30/2012 Class A Common Stock 7,350 12.35 D
Options to purchase(4) (9) 02/02/2013 Class A Common Stock 20,220 11.31 D
Options to purchase(10) (11) 06/30/2013 Class A Common Stock 27,450 11 D
Options to purchase(10) (12) 02/01/2014 Class A Common Stock 17,100 16.64 D
Options to purchase(10) (13) 02/26/2014 Class A Common Stock 3,126 18.98 D
Options to purchase(10) (14) 06/30/2014 Class A Common Stock 18,690 14.04 D
Explanation of Responses:
1. Granted pursuant to the Issuer's 1998 Equity Incentive Plan.
2. All of these options are currently exercisable.
3. Granted pursuant to the Issuer's 1998 Amended & Restated Equity Incentive Plan.
4. Granted pursuant to the Issuer's 2000 Equity Incentive Plan.
5. Granted pursuant to the Issuer's 1996 Amended & Restated Equity Incentive Plan.
6. Two-thirds of these options is currently exercisable; the remainder becomes exercisable on February 1, 2005.
7. Two-thirds of these options is currently exercisable; the remainder becomes exercisable on July 1, 2005.
8. One-third of these options is currently exercisable; the remainder becomes exercisable in two equal annual installments beginning December 31, 2004.
9. One-third of these options is currently exercisable; the remainder becomes exercisable in two equal annual installments beginning February 3, 2005.
10. Granted pursuant to the Issuer's 2003 Equity Incentive Plan.
11. One-third of these options is currently exercisable; the remainder becomes exercisable in two equal annual installments beginning July 1, 2005.
12. The options vest in three equal annual installments beginning February 2, 2005.
13. The options vest in three equal annual installments beginning February 27, 2005.
14. the options vest in three equal annual installments beginning July 1, 2005.
Lily Yan Arevalo for William D. Humes 10/15/2004
** 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).
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.