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SEC FORM 4 SEC Form 4
FORM 4 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
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).
1. Name and Address of Reporting Person*
ERGEN CHARLES W

(Last) (First) (Middle)
9601 S. MERIDIAN BLVD.

(Street)
ENGLEWOOD CO 80112

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DISH Network CORP [ DISH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman
3. Date of Earliest Transaction (Month/Day/Year)
12/03/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 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
Class A Common Stock 7,928,739 D
Class A Common Stock 20,858 I I(1)
Class A Common Stock 245 I I(2)
Class A Common Stock 2,473 I I(3)
Class A Common Stock 10,395 I I(4)
Class A Common Stock 6,658 I I(5)
Class A Common Stock 2,168,975 I I(6)
Class A Common Stock 3,079,972 I I(7)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (8) 12/03/2019 G(9) V 32,000,000 (8) (8) Class A Common Stock 32,000,000 $0 3,145,410 D
Class B Common Stock (8) 12/03/2019 G(9) V 32,000,000 (8) (8) Class A Common Stock 32,000,000 $0 32,000,000 I I(9)
Class B Common Stock (8) (8) (8) Class A Common Stock 26,962,635 26,962,635 I I(10)
Class B Common Stock (8) (8) (8) Class A Common Stock 13,963,755 13,963,755 I I(11)
Class B Common Stock (8) (8) (8) Class A Common Stock 18,572,788 18,572,788 I I(12)
Class B Common Stock (8) (8) (8) Class A Common Stock 50,000,000 50,000,000 I I(13)
Class B Common Stock (8) (8) (8) Class A Common Stock 30,000,000 30,000,000 I I(14)
Class B Common Stock (8) (8) (8) Class A Common Stock 63,790,620 63,790,620 I I(7)
1. Name and Address of Reporting Person*
ERGEN CHARLES W

(Last) (First) (Middle)
9601 S. MERIDIAN BLVD.

(Street)
ENGLEWOOD CO 80112

(City) (State) (Zip)
1. Name and Address of Reporting Person*
ERGEN CANTEY

(Last) (First) (Middle)
9601 S. MERIDIAN BLVD.

(Street)
ENGLEWOOD CO 80112

(City) (State) (Zip)
Explanation of Responses:
1. Held by Mr. Charles W. Ergen in a 401(k) account.
2. Held by Mrs. Cantey M. Ergen, Mr. Ergen's spouse.
3. Held by Mrs. Cantey M. Ergen in a 401(k) account.
4. The shares are owned beneficially by the reporting persons' child. The reporting persons disclaim beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
5. The shares are owned beneficially by a trust for which Mrs. Cantey M. Ergen holds a durable power of attorney for the beneficiary. The reporting persons disclaim beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
6. The shares are held by a charitable foundation. The reporting persons are officers of the charitable foundation and share voting and dispositive power for the foundation. The reporting persons disclaim beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
7. The shares are held by Telluray Holdings, LLC ("Telluray Holdings"). Mr. Ergen and Mrs. Ergen are the managers of Telluray Holdings. Mrs. Ergen, as a manager of Tellurary Holdings, has sole voting power over the Class A shares and Class B shares held by Telluray Holdings and Mr. Ergen and Mrs. Ergen, as the managers of Telluray Holdings, share dispositive power over the Class A shares and Class B shares held by Telluray Holdings. The reporting persons disclaim beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
8. The holders of Class B shares may elect to convert any or all of their Class B shares into an equal number of Class A shares at any time for no additional consideration.
9. On December 3, 2019, Charles W. Ergen established the Ergen Two-Year December 2019 DISH GRAT (the "Two-Year Decebmer 2019 GRAT") and contributed 32,000,000 Class B shares to the Two-Year December 2019 GRAT. The Two-Year Decebmer 2019 GRAT may elect to convert any or all of its Class B shares into an equal number of Class A shares at any time for no additional consideration. The Two-Year December 2019 GRAT is scheduled to expire in accordance with its terms on December 3, 2021. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
10. The Ergen Two-Year November 2018 DISH GRAT holds 26,962,635 Class B shares and is scheduled to expire in accordance with its terms on November 30, 2020. Cantey M. Ergen serves as the trustee of such GRAT.
11. The Ergen Two-Year March 2018 DISH GRAT holds 13,963,755 Class B shares and is scheduled to expire in accordance with its terms on March 9, 2020. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
12. The Ergen Two-Year May 2018 DISH GRAT holds 18,572,788 Class B shares and is scheduled to expire in accordance with its terms on May 9, 2020. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
13. The Ergen Two-Year May 2019 DISH GRAT holds 50,000,000 Class B shares and is scheduled to expire in accordance with its terms on May 20, 2021. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
14. The Ergen Two-Year 2019 DISH GRAT II holds 30,000,000 Class B shares and is scheduled to expire in accordance with its terms on May 30, 2021. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
Remarks:
/s/ Charles W. Ergen, by Brandon Ehrhart, his Attorney in Fact 12/05/2019
/s/ Cantey M. Ergen, by Brandon Ehrhart, her Attorney in Fact 12/05/2019
** 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).
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