Amazon com : An amendment to a 3 filing. Non-EDGAR filing

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

OMB APPROVAL

Washington, D.C. 20549

OMB Number:

3235-0104

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF

Estimated average burden

hours per response:

0.5

SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934

or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person*

2. Date of Event

3. Issuer Name and Ticker or Trading Symbol

NOOYI INDRA K

(Month/Day/Year)

AMAZON COM INC[ AMZN ]

Requiring Statement

02/25/2019

4. Relationship of Reporting Person(s) to Issuer

5. If Amendment, Date of Original Filed

(Last)

(First)

(Middle)

(Check all applicable)

(Month/Day/Year)

X Director

10% Owner

02/25/2019

P.O. BOX 81226

Officer (give title

Other (specify

6. Individual or Joint/Group Filing (Check

below)

below)

Applicable Line)

(Street)

X

Form filed by One Reporting

SEATTLE

WA

98108-1226

Person

Form filed by More than One

(City)

(State)

(Zip)

Reporting Person

Table I - Non-Derivative Securities Beneficially Owned

1. Title of Security (Instr. 4)

2. Amount of Securities

3. Ownership

4. Nature of Indirect Beneficial Ownership

Beneficially Owned (Instr. 4)

Form: Direct (D)

(Instr. 5)

or Indirect (I)

(Instr. 5)

Common Stock, par value $.01 per share

150

D

Common Stock, par value $.01 per share

18

I

In trust

Table II - Derivative Securities Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)

2. Date Exercisable and

3. Title and Amount of Securities

4.

5.

6. Nature of Indirect

Expiration Date

Underlying Derivative Security (Instr.

Conversion

Ownership

Beneficial Ownership

(Month/Day/Year)

4)

or

Form:

(Instr. 5)

Exercise

Direct (D)

Amount

Price of

or Indirect

or

Derivative

(I) (Instr. 5)

Date

Expiration

Number

Security

of

Exercisable

Date

Title

Shares

Explanation of Responses:

Remarks:

/s/ by Mark F. Hoffman as

05/17/2019

attorney-in-fact for Indra

K.

Nooyi

** 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 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). 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.