SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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
OMB APPROVAL
OMB Number: 3235-0287
Expires: February 28, 2011
Estimated average burden
hours per response 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HYNES MARY ANN

(Last) (First) (Middle)
100 S. SAUNDERS ROAD
SUITE 300

(Street)
LAKE FOREST IL 60045

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MOSAIC GLOBAL HOLDINGS INC. [ IGL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP and General Counsel
3. Date of Earliest Transaction (Month/Day/Year)
10/22/2004
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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
Cmm Stock, $1.00 par value 10/22/2004 D 17,637 ( 1 ) D $0 0 ( 1 ) D
Cmmn Stck, $1.00 par value 10/22/2004 D 12,055 ( 1 ) D $0 0 ( 1 ) D
Cmmn Stk, $1.00 par value 10/22/2004 D 7,687 ( 1 ) D $0 0 ( 1 ) D
Cmmn Stock, $1.00 par value 10/22/2004 D 5,295 ( 1 ) D $0 0 ( 1 ) D
Common Stck, $1.00 par value 10/22/2004 D 7,059 ( 1 ) D $0 0 ( 1 ) D
Common Stk, $1.00 par value 10/22/2004 D 2,033.937 ( 1 ) D $0 0 ( 1 ) I See footnote ( 2 )
Common Stock, $1.00 par value 10/22/2004 D 5,000 ( 1 ) D $0 0 ( 1 ) D ( 3 )
Common Stock, $1.00 par value 10/22/2004 D 100 ( 1 ) D $0 0 ( 1 ) I See footnote ( 4 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
Non-qualified stock option (right to purchase) $10.19 10/22/2004 D 65,000 ( 5 ) 01/02/2014 Common Stock, $1.00 par value 65,000 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $10.76 10/22/2004 D 50,000 ( 5 ) 01/02/2013 Common Stock, $1.00 par value 50,000 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $10.71 10/22/2004 D 85,000 ( 5 ) 11/05/2011 Common Stock, $1.00 par value 85,000 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $13.55 10/22/2004 D 55,000 ( 5 ) 02/28/2011 Common Stock, $1.00 par value 55,000 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $15.0625 10/22/2004 D 67,400 ( 5 ) 03/30/2010 Common Stock, $1.00 par value 67,400 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $15.0312 10/22/2004 D 27,000 ( 5 ) 02/22/2010 Common Stock, $1.00 par value 27,000 $0 0 ( 5 ) D
Non-qualified stock option (right to purchase) $17 10/22/2004 D 25,000 ( 5 ) 07/19/2009 Common Stock, $1.00 par value 25,000 $0 0 ( 5 ) D
Explanation of Responses:
1. These shares were disposed of in the merger of IMC Global Inc. with GNS Acquisition Corp., with IMC being the surviving entity and a wholly owned subsidiary of The Mosaic Company (the "Merger"). Pursuant to the Merger, each share of IMC common stock was exchanged for one share of common stock of The Mosaic Company on October 22, 2004, the effective date of the Merger (the "Effective Date").
2. Shares held in IMC Global Profit Sharing and Savings Plan.
3. Held in joint tenancy with spouse.
4. Held by reporting person's son, Nicholas Hynes, who resides in Ms. Hynes' household. Reporting person disclaims beneficial owner ship in any of the 100 shares of Issuer's common stock owned by reporting person's son.
5. As a result of the Merger, these stock options were assumed by The Mosaic Company and replaced with stock options of The Mosaic C ompany, with substantially the same terms.
Remarks:
Rose Marie Williams, Attorney in Fact 10/26/2004
** 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 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 Number.