SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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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.
1. Name and Address of Reporting Person*
LEIBOWITZ REUBEN S

(Last) (First) (Middle)
551 MADISON AVENUE, SUITE 300

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SIMON PROPERTY GROUP INC /DE/ [ SPG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2016
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 at end of Issuer's Fiscal Year (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 12/28/2016 G(1) 2,500 D $0 29,149 D
Common Stock 2,500 I Spouse
Common Stock 5,000(2)(3) I Leibowitz Foundation
Common Stock 2,500(2)(4) I Maxsim Charitable Remainder Trust
Common Stock 1,000(2)(5) I Sarah Lea & Jesse Z. Shafer Charitable 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 (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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents a gift to the Leibowitz Foundation, as indicated in footnote (3).
2. The reporting person disclaims beneficial ownership of these securities and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the reported shares for purposes of Section 16 or for any other purposes.
3. The reporting person last disclosed the holdings of the Leibowitz Foundation in a Form 4 filed on May 23, 2011. At that time, due to a clerical error he reported ownership of 2,496 shares of Common Stock instead of 2,500 shares. Between the date of that report on Form 4 and December 28, 2016 the Leibowitz Foundation neither acquired nor disposed of any Common Stock; however the reporting person inadvertently did not include the Leibowitz Foundation's ownership of Common Stock in the Forms 4 he filed subsequent to May 23, 2011. This Form 5 reflects the 2,500 shares previously owned by the Leibowitz Foundation plus the reporting person's gift of 2,500 shares of Common Stock to the Leibowitz Foundation.
4. The reporting person last disclosed the holdings of the Maxsim Charitable Remainder Trust in a Form 4 on May 23, 2011. At that time, due to a clerical error he reported ownership of 932 shares of Common Stock through the Reuben S. Leibowitz Trust instead of the Maxsim Charitable Remainder Trust. Between the date of that report on Form 4 and February 14, 2017 the Maxsim Charitable Remainder Trust neither acquired nor disposed of any Common Stock; however the reporting person inadvertently did not include the Maxsim Charitable Remainder Trust's ownership of Common Stock in the Forms 4 he filed subsequent to May 23, 2011.
5. The reporting person last disclosed the holdings of the Sarah Lea & Jesse Z. Shafer Charitable Medical Trust in a Form 4 on May 23, 2011. At that time, due to a clerical error he reported ownership of 2,564 shares of Common Stock instead of 1,000 shares of Common Stock. Between the date of that report on Form 4 and February 14, 2017 the Sarah Lea & Jesse Z. Shafer Charitable Medical Trust neither acquired nor disposed of any Common Stock; however the reporting person inadvertently did not include the Sarah Lea & Jesse Z. Shafer Charitable Medical Trust's ownership of Common Stock in the Forms 4 he filed subsequent to May 23, 2011.
/s/ Reuben S. Leibowitz, by his attorney-in-fact, Steven Fivel 02/14/2017
** 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.
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