Sec Form 5 Filing - CARLSON LEROY T JR @ TELEPHONE & DATA SYSTEMS INC /DE/ - 2022-12-31

Insider filing report for Changes in Beneficial Ownership
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FORM 5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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
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1. Name and Address of Reporting Person
CARLSON LEROY T JR
2. Issuer Name and Ticker or Trading Symbol
TELEPHONE & DATA SYSTEMS INC /DE/ [ TDS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President and CEO
(Last) (First) (Middle)
30 N. LASALLE ST., STE. 4000
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2022
(Street)
CHICAGO, IL60602
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Common Shares 10/16/2022 G V 10,000 D $ 0 117,029( 1 ) D
Common Shares 10/31/2022 G V 14,000 D $ 0 103,029 D
Common Shares 12/06/2022 G V 103,029 D $ 0 0( 1 ) D
Common Shares 211,758( 2 ) I By Trust
Common 78,943( 2 ) I By Trust
Common Shares 10/16/2022 G V 10,000 A $ 0 10,518 I By wife
Common Shares 11/07/2022 G V 2,586 D $ 0 7,932 I By wife
Common Shares 12/06/2022 G V 103,029 A $ 0 110,961 I By wife
Common Shares 23,493( 3 ) I By 401(k)
Common Shares 1,759,584( 1 )( 4 ) I By Voting Trust
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Series A Common Shares ( 5 ) ( 5 ) ( 5 ) Common Shares 1,918,692 1,918,692( 1 )( 6 ) I By Voting Trust
Deferred Compensation ( 7 ) ( 7 ) ( 7 ) Common Shares 81,757 81,757( 7 ) D
Series A Common Shares ( 5 ) ( 5 ) ( 5 ) Common Shares 11,424 11,424( 2 ) I By Trust
Series A Common Shares ( 5 ) ( 5 ) ( 5 ) Common Shares 11,746 11,746( 2 ) I By Trust
Series A Common Shares ( 5 ) ( 5 ) ( 5 ) Common Shares 297 297 I By Wife
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
CARLSON LEROY T JR
30 N. LASALLE ST., STE. 4000
CHICAGO, IL60602
X President and CEO
Signatures
Julie D. Mathews, by power of atty 02/02/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Effective 12/31/22, reporting person is no longer including shares held by grown children no longer sharing his household in his ownership totals.
( 2 )Voluntary report of shares held in trust, the trustee of which is a third party and beneficiaries include reporting person's spouse and descendants
( 3 )The information is based on a plan statement dated 12/31/22. The number of shares fluctuates and is attributable to the price of the shares on 12/31/22.
( 4 )Reporting person is one of four trustees of a trust which is also a reporting person. The shares reported are held by respective reporting person and his family members that have a pecuniary interest in such securities. Includes 691,720 Common Shares held by a family partnership of which reporting person is a general partner.
( 5 )Series A Common shares are convertible, on a share-for-share basis, into common shares.
( 6 )Reporting person is one of four trustees of a trust which is also a reporting person. The shares reported are held by respective reporting person and his family members that have a pecuniary interest in such securities. Includes 753,934 Series A Common Shares held by a family partnership of which reporting person is a general partner.
( 7 )Reporting person deferred bonuses pursuant to the TDS Long Term Incentive Plans. Employer matches vest ratably at a rate of 33%, 33%, 34% over three years. A total of 78,879 common share units were vested at 12/31/22.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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