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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)
12/22/2021
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 12/23/2021 G V 305 D $0 11,300,194 D
Class A Common Stock 322 I I(1)
Class A Common Stock 21,324 I I(2)
Class A Common Stock 2,658 I I(3)
Class A Common Stock 10,957 I I(4)
Class A Common Stock 2,168,975 I I(5)
Class A Common Stock 15,390,835 I I(6)
Class A Common Stock 6,699,489 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) 12/22/2021 G(9) V 17,701,159 (8) (8) Class A Common Stock 17,701,159 (8) 24,298,841 I I(9)
Class B Common Stock (8) 12/22/2021 G(9) V 17,701,159 (8) (8) Class A Common Stock 17,701,159 (8) 17,706,929 D
Class B Common Stock (8) (8) (8) Class A Common Stock 50,000,000 50,000,000 I I(10)
Class B Common Stock (8) (8) (8) Class A Common Stock 40,138,818 40,138,818 I I(11)
Class B Common Stock (8) (8) (8) Class A Common Stock 63,790,620 63,790,620 I I(7)
Class B Common Stock (8) (8) (8) Class A Common Stock 10,000,000 10,000,000 I I(12)
Class B Common Stock (8) (8) (8) Class A Common Stock 32,500,000 32,500,000 I I(13)
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 Mrs. Cantey M. Ergen, Mr. Ergen's spouse.
2. Held by Mr. Charles W. Ergen in a 401(k) account.
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 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.
6. The Ergen Two-Year March 2020 DISH GRAT holds 15,390,835 Class A shares and is scheduled to expire in accordance with its terms on March 16, 2022. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
7. The shares are held by Telluray Holdings, LLC. Mr. Ergen and Mrs. Ergen are the managers of Telluray Holdings, LLC. Mrs. Ergen, as a manager of Telluray Holdings, LLC, has sole voting power over the Class A shares and Class B shares held by Telluray Holdings, LLC, and Mr. Ergen and Mrs. Ergen, as the managers of Telluray Holdings, LLC, share dispositive power over the Class A shares and Class B shares held by Telluray Holdings, LLC. The reporting persons disclaim beneficial ownership of the shares, except to the extent of their pecuniary interest therein.
8. The holder of Class B shares 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.
9. Pursuant to the terms of the Ergen Two-Year December 2020 DISH GRAT, 17,701,159 Class B shares were distributed as an annuity to Mr. Ergen on December 22, 2021. Following this distribution, the Ergen Two-Year December 2020 DISH GRAT holds 24,298,841 Class B shares and is scheduled to expire in accordance with its terms on December 22, 2022. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
10. The Ergen Two-Year June 2021 DISH GRAT holds 50,000,000 Class B Shares and is scheduled to expire in accordance with its terms on June 3, 2023. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
11. The Ergen Two-Year June 2020 DISH GRAT holds 40,138,818 Class B shares and is scheduled to expire in accordance with its terms on June 2, 2022. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
12. The Ergen Two-Year March 2021 DISH GRAT holds 10,000,000 Class B shares and is scheduled to expire in accordance with its terms on March 30, 2023. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
13. The Ergen Two-Year December 2021 DISH GRAT holds 32,500,000 Class B Shares and is scheduled to expire in accordance with its terms on December 3, 2023. Mrs. Cantey M. Ergen serves as the trustee of such GRAT.
/s/ Charles W. Ergen by Brandon Ehrhart, Attorney-in-Fact 12/27/2021
/s/ Cantey M. Ergen by Brandon Ehrhart, Attorney-in-Fact 12/27/2021
** 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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