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
 
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1. Name and Address of Reporting Person*
Carlson Ria M

(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)
06/01/2005
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)
Corp. VP, Strategy & Comm.
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)
Class A Common Stock 11,359 I(1) 401(k)
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(2) (3) 03/29/2011 Class A Common Stock 11,186 13.5 D
Options to purchase(2) (3) 01/31/2012 Class A Common Stock 16,770 17.9 D
Options to purchase(2) (4) 06/30/2012 Class A Common Stock 14,700 13.03 D
Options to purchase(2) (5) 02/02/2013 Class A Common Stock 13,480 11.31 D
Options to purchase(6) (7) 06/30/2013 Class A Common Stock 27,450 11 D
Options to purchase(6) (8) 02/01/2014 Class A Common Stock 17,100 16.64 D
Options to purchase(6) (9) 06/30/2014 Class A Common Stock 15,330 14.04 D
Options to purchase(6) (10) 01/31/2015 Class A Common Stock 12,420 18.75 D
Options to purchase(6) (11) 02/27/2015 Class A Common Stock 2,226 17.92 D
Explanation of Responses:
1. Held in 401(k) plan.
2. Granted pursuant to the Issuer's 2000 Equity Incentive Plan.
3. All of these options are currently exercisable.
4. Two-thirds of these options is currently exercisable; the remainder becomes exercisable on July 1, 2005.
5. One-half of these options is currently exercisable; the remainder becomes exercisable on February 3, 2006.
6. Granted pursuant to the Issuer's 2003 Equity Incentive Plan.
7. One-third of these options is currently exercisable; the remainder becomes exercisable in two equal annual installments beginning July 1, 2005.
8. One-third of these options is currently exercisable; the remainder becomes exercisable in two equal annual installments beginning February 2, 2006.
9. The options vest in three equal annual installments beginning July 1, 2005.
10. The options vest in three equal annual installments beginning February 1, 2006.
11. The options vest in three equal annual installments beginning February 28, 2006.
Lily Yan Arevalo for Ria Marie Carlson 06/03/2005
** 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.
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