|
FORM 5
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
[ ] Form 3 Holdings Reported [ ] Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0362 Expires: February 28, 2011 Estimated average burden hours per response... 1.0 |
|
|
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 |
|
| 1. Name and Address of Reporting Person * Adelson Miriam | 2. Issuer Name and Ticker or Trading Symbol LAS VEGAS SANDS CORP [LVS] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below) _____ Other (specify below) |
|
|
3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
|
|
|
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 |
||||||||||
|
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) |
|||
| Amount | (A) or (D) | Price | ||||||||
| Common Stock | 6/29/2010 | G (1) | 33000000 | D | $0 | 53363636 | D | |||
| Common Stock | 9/28/2010 | G (1) | 25000000 | D | $0 | 28363636 | D | |||
| Common Stock | 9/29/2010 | G (1) | 25000000 | D | $0 | 3363636 | D | |||
| Common Stock | 10/27/2010 | G (2) | 5000000 | D | $0 | 8692516 | I | By ESBT Y Trust. | ||
| Common Stock | 11/30/2010 | G | 7213275 | A | $0 | 7213275 | I | By General Trust under the Sheldon G. Adelson 2007 Remainder Trust u/d/t dated May 1, 2007. (3) | ||
| Common Stock | 11/30/2010 | G | 7213275 | A | $0 | 7213275 | I | By General Trust under the Sheldon G. Adelson 2007 Friends and Family Trust u/d/t dated May 1, 2007. (3) | ||
| Common Stock | 12/15/2010 | G (4) | 1000000 | D | $0 | 12692516 | I | By ESBT S Trust. | ||
| Common Stock | 12/30/2010 | G (5) | 1350000 | D | $0 | 7342516 | I | By ESBT Y Trust. | ||
| Common Stock | 13692517 | I | By QSST A Trust. | |||||||
| Common Stock | 13692517 | I | By QSST M Trust. | |||||||
| Common Stock | 5144415 | I | By Sheldon G. Adelson 2004 Remainder Trust. | |||||||
| Common Stock | 12566710 | I | By Adfam Investment Company LLC | |||||||
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
|||||||||||||||
|
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
(MM/DD/YYYY) |
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 at End of Issuer's Fiscal Year
(Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4) |
11. Nature of Indirect Beneficial Ownership
(Instr. 4) |
||||
| (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||||
|
Reporting Owners
|
|||||
| Reporting Owner Name / Address |
|
||||
| Director | 10% Owner | Officer | Other | ||
|
Adelson Miriam
3355 LAS VEGAS BOULEVARD SOUTH LAS VEGAS, NV 89109 |
|
X |
|
|
|
|
Signatures
|
||
| /s/ Miriam Adelson | 2/11/2011 | |
| ** 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 control number. | |