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*
Vercollone David L.
--------------------------------------------------------------------------------
(Last) (First) (Middle)
Millennium Chemicals Inc.
200 International Circle, Suite 5000
--------------------------------------------------------------------------------
(Street)
Hunt Valley MD 21030
--------------------------------------------------------------------------------
(City) (State) (Zip)
________________________________________________________________________________
2. Issuer Name and Ticker or Trading Symbol
Millennium Chemicals Inc. (MCH)
________________________________________________________________________________
3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
________________________________________________________________________________
4. Statement for Month/Year
December 2001
________________________________________________________________________________
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)
Senior Vice President - Commercial, Operational Execellence Businesses
________________________________________________________________________________
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 $0.01 par value/share 11,579 I 401(k)(1)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock $0.01 par value/share 10,310 D restricted
stock (2)(2A)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock $0.01 par value/share 20,004 D (2A)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock $0.01 par value/share 2,613 I (3)SSIP
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
====================================================================================================================================
* 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)
------------------------------------------------------------------------------------------------------------------------------------
Common
Option $16.87 5/18/01 A 25,000 A 5/18/02 5/17/11 Stock 25,000 - 25,000 D (4)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
====================================================================================================================================
Explanation of Responses:
1. Represents the value of the Reporting Person's Stock Fund Account in
the Company's 401(k) plan as of December 31, 2001, expressed as share
equivalents. As of such date 97.95% of such fund was invested in Company
Common Stock.
2. Represents shares of restricted stock granted to the Reporting Person on
October 8, 1996 and October 23, 1997 under the Issuer's Long Term Stock
Incentive Plan as follows: (i) 1,345 shares which may vest over a five-year
period, and (ii) 8,962 shares which may be earned for the five-year perform-
ance period ending December 31, 2001 subject to the achievement of perform-
ance goals, 50% of which may be distributed when earned and 50% of which may
be distributed over a five-year period commencing on the date earned.
2A.On December 31, 2001, 427 shares of restricted stock vested under the
Issuer's Long Term Stock Incentive Plan and were distributed to the
Reporting Person.
3. Represents amounts allocated to, and the total holdings in, the Reporting
Person's Company Stock Fund Account in the Company's Supplemental Savings
and Investment Plan as of December 31, 2001, expressed as share equivalents.
Because the trustee and record keeper for this plan utilize unit accounting
for the Company Stock Fund rather than share accounting, these amounts
represent share equivalents allocated to the Reporting Person's account
rather than shares of Common Stock.
4. Represents an option granted to the Reporting Person on May 18, 2001 under
the Issuer's Long Term Stock Incentive Plan to purchase 25,000 shares
of the Issuer's Common Stock at $16.87 per share.
--------------------------------------------- -----------------------
**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