U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
[_] Check 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*
Bennett, Jr. Robert William
- --------------------------------------------------------------------------------
(Last) (First) (Middle)
2200 West Parkway Blvd
- --------------------------------------------------------------------------------
(Street)
Salt Lake City UT 84119
- --------------------------------------------------------------------------------
(City) (State) (Zip)
________________________________________________________________________________
2. Issuer Name and Ticker or Trading Symbol
FranklinCovey Co.; FC
________________________________________________________________________________
3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
________________________________________________________________________________
4. Statement for Month/Year
Prior to 08/29/02
________________________________________________________________________________
5. If Amendment, Date of Original (Month/Year)
________________________________________________________________________________
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[_] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
General Manager
________________________________________________________________________________
7. 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
================================================================================
5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock (3) 4,104.45
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
====================================================================================================================================
* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses) (Over)
FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
================================================================================
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1for 1 03/19/02 A 45 Immed. (1) Stock 45 2.622653 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 3/19/02 A 39 Immed (1) Stock 39 2.815556 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 3/19/02 A 39 Immed (1) Stock 39 2.835556 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 3/19/02 A 39 Immed (1) Stock 39 2.835484 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 4/29/02 A 40 Immed (1) Stock 40 2.989771 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 4/29/02 A 40 Immed (1) Stock 40 2.989771 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 4/29/02 A 41 Immed (1) Stock 41 2.989771 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 5/28/02 A 37 Immed (1) Stock 37 3.249018 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 5/28/02 A 37 Immed (1) Stock 37 3.249018 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 5/28/02 A 11 Immed (1) Stock 11 3.249018 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 6/11/02 A 33 Immed (1) Stock 33 3.466667 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 7/3/02 A 37 Immed (1) Stock 37 3.213864 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 7/16/02 A 46 Immed (1) Stock 46 2.564074 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 7/23/02 A 49 Immed (1) Stock 49 2.43 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 7/31/02 A 37 Immed (1) Stock 37 2.807792 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
Phantom Stock Common
Units 1 for 1 8/21/02 A 24 Immed (1) Stock 24 2.433258 758 (2) D
- ------------------------------------------------------------------------------------------------------------------------------------
====================================================================================================================================
Explanation of Responses:
(1) Under the terms of the FranklinCovey Co. Nonqualified Deferred Compensation
Plan, the units may be settled in either cash or FranklinCovey Co. common stock
at the election of the Reporting Person, following termination of the Reporting
Person's employment with FranklinCovey Co.
(2) The purpose of this filing is to record all purchases prior to August 29,
2002.
(3) Reported below.
\S\ Robert W. Bennett 10/7/2002
- --------------------------------------------- -----------------------
**Signature of Reporting Person Date
** 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 provided is insufficient, see Instruction 6 for procedure.
Page 2
