- Annual Statement of Changes in Beneficial Ownership (5)
04 January 2013 - 4:16AM
Edgar (US Regulatory)
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
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Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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
*
LAUKIEN FRANK H
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2. Issuer Name
and
Ticker or Trading Symbol
BRUKER CORP [BRKR]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
CEO, President
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(Last)
(First)
(Middle)
C/O BRUKER CORPORATION, 40 MANNING ROAD
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2012
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(Street)
BILLERICA, MA 01821
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
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7. Nature of Indirect Beneficial Ownership
(Instr. 4)
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Amount
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(A) or (D)
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Price
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Common Stock
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12/21/2012
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G
(1)
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605107
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D
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$0
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36438029
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D
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Common Stock
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12/21/2012
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G
(2)
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269810
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D
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$0
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1846499
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I
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By former spouse
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Common Stock
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12/21/2012
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G
(3)
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335296
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D
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$0
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551
(4)
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I
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By spouse
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Common Stock
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343527
(4)
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I
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By daughter
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Common Stock
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343527
(4)
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I
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By son
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Common Stock
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201702
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I
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As UTMA custodian for son
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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The transactions reported involved gifts by the reporting person of 335,297 shares to the reporting person's spouse and 134,905 shares to each of the reporting person's adult son and daughter.
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(
2)
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The transactions reported involved gifts by the reporting person's former spouse of 134,905 shares to each of the reporting person's adult son and daughter. The shares held by the reporting person's former spouse were previously reported as directly beneficially owned.
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(
3)
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The transactions reported involved gifts by the reporting person's spouse of 66,797 shares to each of the reporting person's adult son and daughter and 201,702 shares to the reporting person as custodian for minor son under Uniform Trust for Minors Act.
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(
4)
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The reporting person disclaims beneficial ownership of the 551 shares held by the reporting person's spouse and of 6,920 shares held by each of the reporting person's adult children.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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LAUKIEN FRANK H
C/O BRUKER CORPORATION
40 MANNING ROAD
BILLERICA, MA 01821
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X
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X
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CEO, President
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Signatures
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Frank H. Laukien
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1/3/2013
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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.
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