UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class A exchangeable shares of Molson Coors Canada Inc. | 02/09/2005 | Â (1) | Class A Common Stock | 6,964 | $ (4) | D | Â |
Class A Common Stock (2) | 02/09/2005 | Â (3) | Class B Common Stock | 6,964 | $ (4) | D | Â |
Class B exchangeable shares of Molson Coors Canada Inc. | 02/09/2005 | Â (1) | Class B Common Stock | 279,392 | $ (4) | D | Â |
Class B exchangeable shares of Molson Coors Canada Inc. | 02/09/2005 | Â (1) | Class B Common Stock | 143,698 | $ (4) | I | By 6339522 Canada Inc. (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BAX Investments LTD 421 7TH AVENUE, S.W. CALGARY, A0 T2P 4K9 |
 |  |  | See Remarks |
/s/ Cynthia Baxter - Vice President | 02/18/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Class A exchangeable shares and Class B exchangeable shares are redeemable by a subsidiary of Molson Coors Brewing Company at any time after February 9, 2045 for the corresponding class of Molson Coors Common Stock or, for non-affiliates only, the equivalent value in cash. |
(2) | These shares of Class A Common Stock are not outstanding, but are issuable upon conversion of the Class A exchangeable shares of Molson Coors Canada Inc. |
(3) | No expiration date. |
(4) | The shares are convertible on a 1-for-1 basis. |
(5) | These shares are owned directly by 6339522 Canada Inc., which is a wholly owned subsidiary of BAX Investments Limited. |
 Remarks: The reporting person may be deemed to be a member of a Section 13(d) group that owns more than 10% of the issuer's outstanding Class A Common Stock, but disclaims membership in any such group and beneficial ownership of any securities held by the other members of any such group. |