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OMB APPROVAL
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OMB Number 3235-0362
Expires: September 30, 1998
Estimated average burden
hours per response ..... 1.0
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FORM 5
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[ ] Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION
longer subject to WASHINGTON, DC 20549
Section 16. Form
4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
obligations may
continue. See Filed pursuant to Section 16(a) of the Securities
Instruction 1(b) Exchange Act of 1934, Section 17(a) of the
[ ] Form 3 Holdings Public Utility Holding Company Act of 1935 or
Reported Section 30(f) of the Investment Company Act of 1940
[ ] Form 4
Transactions
Reported
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<S> <C> <C> <C> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Chapman Fay L. Washington Mutual, Inc. ("WM") Issuer (Check all applicable)
- ------------------------------------------- ---------------------------------------------- Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
- ------------------------------------------- Number of Reporting Month/Year X Officer (give Other (specify
1201 Third Avenue Person (Voluntary) 12/31/98 ---- title below) --- below)
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(Street) 5. If Amendment, Executive Vice President &
Seattle WA 98101 Date of Original General Counsel
- ------------------------------------------- (Month/Year) -------------------------------
(City) (State) (Zip) 7. Individual or Joint/Group Filing
------------------ (Check applicable line)
X Form Filed by one
---- Reporting Person
Form Filed by more than
---- one Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Month/ (Instr. 8) End of Month Direct Benefi-
Day/ (Instr. 3 and 4) (D) or cial
Year) ---------------------------------------- Indirect Owner-
Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock 40,596.79(1) D
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Common Stock 289 I N/O Daughter
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Common Stock 681 I Husband's IRA
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Common Stock 1,500 I 401(K)
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*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. (Over)
(Print or Type Responses) SEC 2270 (7/96)
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FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C> <C> <C>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
--------------- Exer- tion Title Number of
(A) (D) cisable Date Shares
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Stock Option $32.875 12/15/98 A 66,000 12/15/99 12/15/08 Common 66,000
(Right to Buy) (2) Stock
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<C> <C> <C> <C>
1. Title of Derivative 9. Number of 10. Ownership Form 11. Nature of
Security Derivative of Derivative Indirect
(Instr. 3) Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (I) (Instr. 4)
of Month (Instr. 4)
(Instr. 4)
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Stock Option 66,000(2) D
Right to Buy)
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Explanation of Responses:
(1) The end-of-month total includes 91.59 shares in the second quarter and 126.75 shares in the third quarter acquired
through reinvested dividends in the Washington Mutual ("WM") Restricted Stock Plan.
(2) Grant of option pursuant to the WM 1994 Stock Option Plan (as amended and restated as of February 17, 1998).
One-third vests annually beginning on the first anniversary of the grant date.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Fay L. Chapman 2/8/99
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- -------
**Signature of Reporting Person Date
Note: File three copies of this form, one of which must be manually signed. Page 2
If space provided is insufficient, see Instruction 6 for procedure. SEC 2270 (3/91)
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