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*
DE LIMA ARMANDO ZAGALO

(Last) (First) (Middle)
800 LONG RIDGE ROAD
P. O. BOX 1600

(Street)
STAMFORD, CT CT 06904

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2004
3. Issuer Name and Ticker or Trading Symbol
XEROX CORP [ XRX ]
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 34,481 D
Incentive Stock Rights 39,500 D
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
Stock Option 01/01/1999(1) 12/31/2005 Common Stock 46,018 36.7032 D
Stock Option 01/01/1998(1) 12/31/2004 Common Stock 4,020 30.9688 D
Stock Option 01/01/2005(2) 12/31/2009 Common Stock 20,000 21.7812 D
Stock Option 01/01/2002(2) 12/31/2010 Common Stock 60,800 4.75 D
Stock Option 01/01/2003(2) 12/31/2011 Common Stock 74,800 10.365 D
Stock Option 01/01/2004(2) 12/31/2012 Common Stock 121,500 7.885 D
Stock Option 10/14/2007 12/31/2011 Common Stock 50,000 5.14 D
Explanation of Responses:
1. Options vest over three years, 33%, 33%, 34%, beginning in year shown.
2. Options vest over three years, 33.3% per year beginning in year shown.
K.W. Fizer, Attorney-In-Fact 01/06/2004
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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POWER OF ATTORNEY
The undersigned hereby authorizes each of L. F. Varon, K. W. Fizer and S.K. Lee, with full power to act alone, to file one or more beneficial ownership reports on behalf of the undersigned disclosing the undersigned's beneficial ownership of securities of Xerox Corporation, and amendments thereto, pursuant to the requirements of the Securities Exchange Act of 1934, as amended, which reports and amendments shall contain such information as either L. F. Varon, K. W. Fizer or S. K. Wagner deems appropriate. The undersigned hereby appoints each of L. F. Varon, K. W. Fizer and S. K. Wagner as attorneys-in-fact, with full powers to act alone, to execute such Forms and any and all amendments thereto in the name and on behalf of the undersigned and to file wfth the Securities and Exchange Commission a form of this Power of Attorney, hereby granting to said attorneys, and each of them, full power and authority to do and perform each and every act and thing whatsoever that said attorney or attorneys may deem necessary or advisable to carry out fully the intent of the foregoing as the undersigned might or could do personally.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of the 17th day of December,2003.
/s/ Armando Zagalo de Lima