SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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
 
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response: 1.0
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
DEBENEDICTIS NICHOLAS

(Last) (First) (Middle)
762 W LANCASTER AVE.

(Street)
BRYN MAWR PA 19010

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AQUA AMERICA INC [ WTR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CHAIRMAN & PRESIDENT
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2010
4. 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 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock-GRAT 10/28/2010 J4 120,855.878(1) D $21.335 0 I GRAT #1 - Spouse
Common Stock-GRAT 10/28/2010 J4 120,855.878(1) A $21.335 120,855.878(1) I GRAT #3 - Spouse
Common Stock 11/22/2010 G 760 D $21.155 206,100.95 D
Common Stock 12/21/2010 G 1,349 D $22.275 204,751.95 D
Common Stock 12/21/2010 G 1,124 D $22.275 203,627.95 D
Common Stock 12/21/2010 G 315 D $22.275 203,312.95 D
Common Stock-GRAT 120,776(2) I GRAT #2
Common Stock-GRAT 120,776(3) I GRAT #2 - Spouse
Common Stock-GRAT 120,855.878 I GRAT #3
Common Stock - Ira 3,907.62(4) D
Common Stock - Ira 3,124.47(5) I IRA - Spouse
Common Stock 401k 13,728.97(6) I 401k
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The Form 4 for this transaction incorrectly reported the number of shares subject to this transaction as 120,885.878 shares, rather than 120,855.878 shares. The amount of securities beneficially owned following the transaction as set forth in the original Form 4 and in a subsequent Form 4 reporting a different transaction that occurred on November 3, 2010 also reflected the error.
2. The Form 4 for this transaction, which occurred on June 14, 2010, correctly reported the number of shares subject to this transaction as 120,776 shares. However, in subsequent Form 4 filings reporting different transactions that occurred on October 28, 2010 and November 3, 2010, respectively, the amount of securities beneficially owned as a result of this transaction was incorrectly reported as 120,000 shares, rather than 120,776 shares.
3. The Form 4 for this transaction, which occurred on June 11, 2010, correctly reported the number of shares subject to this transaction as 120,776 shares. However, in subsequent Form 4 filings reporting different transactions that occurred on October 28, 2010 and November 3, 2010, respectively, the amount of securities beneficially owned as a result of this transaction was incorrectly reported as 120,000 shares, rather than 120,776 shares.
4. Includes 29.39 shares acquired under the Issuer's dividend reinvestment plan since the date of the reporting person's last ownership report.
5. Includes 23.50 shares acquired under the Issuer's dividend reinvestment plan since the date of the reporting person's last ownership report.
6. Since the date of the reporting person's last ownership report, the reporting person acquired 102.05 shares under the Issuer's 401k Plan.
/s/ Brian Dingerdissen, attorney-in-fact for Mr. DeBenedictis 01/12/2011
** 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).
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.