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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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 control number. | SEC 2270 (9-02) |
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 Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DAUCH RICHARD E ONE DAUCH DRIVE DETROIT, MI 48211-1198 |
 X |  |  Co-Founder, Chairman & CEO |  |
/s/Patrick S. Lancaster, attorney-in-fact | 02/14/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Gift |
(2) | 1,625,817 shares were transferred from the Dauch Annuity Trust 2004 to the Sandra J. Dauch Gift Trust dated May 25, 1998, an irrevocable trust established by the reporting person for the benefit of his wife, who serves as trustee. The reporting person disclaims beneficial ownership of all shares held by the Sandra J. Dauch Gift Trust. 96,979 shares were transferred from the Dauch Annuity Trust 2004 to the Richard E. Dauch Trust, of which the reporting person is a beneficiary. |
(3) | These shares were previously reported as indirectly beneficially owned in the Richard E. and Sandra J. Dauch Family Foundation ("family foundation"), a charitable foundation under Internal Revenue Code Section 501(c)(3). The reporting person has no reportable pecuniary interest in the family foundation and disclaims beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose. |