SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF 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
 
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1. Name and Address of Reporting Person*
Kopczynski Don F

(Last) (First) (Middle)
1411 E. MISSION AVENUE (MSC-10)

(Street)
SPOKANE WA 99202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/14/2004
3. Issuer Name and Ticker or Trading Symbol
AVISTA CORP [ AVA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 665 D
Common Stock (401(k) Investment Plan Shares) 4,027 I By Trustee
Common Stock (Custodian Acct - David Kopczynski) 15 I By Self for Son
Common Stock (Custodian Acct - Kristen Kopczynski) 15 I By Self for Daughter
Common Stock (Custodian Acct - Kyra Kopczynski) 15 I By Self for Daughter
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 Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Phantom Share Units (1) (1) Common Stock 55 (2) I By Trustee
Employee Stock Options (3) 11/12/2008 Common Stock 4,100 18.63 D
Employee Stock Options (4) 11/11/2009 Common Stock 10,000 17.31 D
Employee Stock Options 11/08/2004(5) 11/08/2011 Common Stock 2,900 11.8 D
Employee Stock Options 11/07/2003(6) 11/07/2012 Common Stock 2,775 10.17 D
Performance Shares (7) (7) Common Stock 6,500 (8) D
Explanation of Responses:
1. The phantom stock units are accrued under the Executive Deferral Plan of Avista Corp. and will be settled in Avista Corp. Common Stock upon the reporting person's retirement.
2. Share price will be 1 for 1 at the time of the reporting person's retirement date.
3. Options were granted on 11/12/1998 and vested in four equal annual installments beginning on the first anniversary of the grant date.
4. Options were granted on 11/11/1999 and vested in four equal annual installments beginning on the first anniversary of the grant date.
5. 5,800 Options were granted on 11/08/2001. Shares vest in four equal annual installments beginning on the first anniversary of the grant date. 2,900 Options have been exercised. 1,450 Options will vest on 11/08/2004 and 1,450 on 11/08/2005.
6. 3,700 Options were granted on 11/07/2002. Shares vest in four equal annual installments beginning on the first anniversary of the grant date. 925 Options have been exercised. 925 Options will vest on 11/07/2004, 925 on 11/07/2005, and 925 on 11/07/2006.
7. Each performance cycle is three years in length. Shares will be issued at the end of each three-year cycle if performance measure is met.
8. No conversion price - Shares awarded if performance measure is met.
/s/ Don F. Kopczynski 05/26/2004
** 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).
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