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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (Right to Buy) | $ 7.14 | 03/01/2011(1) | M | 20,000 | (3) | 12/18/2013 | Common Stock | 20,000 | $ 0 | 17,024 | D | ||||
Employee Stock Option (Right to Buy) | $ 12.48 | 03/01/2011(1) | M | 2,976 | (4) | 01/03/2015 | Common Stock | 2,976 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FRIGO FRED V C/O DORMAN PRODUCTS, INC. 3400 WALNUT STREET COLMAR, PA 18915 |
Senior Vice Pres., Operations |
/s/ Fred V. Frigo | 11/03/2011 | |
**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) | As a result of an administrative error, the date of this transaction was incorrectly reported as March 4, 2011 on the original Form 4 filed by the reporting person on March 7, 2011. |
(2) | In connection with the exercise of an employee stock option previously reported by the reporting person on his original Form 4 filed March 7, 2011, 638 shares of common stock were withheld by the issuer to satisfy the reporting person's payroll tax withholding obligations. Such withholding of shares of common stock was not reported on the March 7, 2011 Form 4. |
(3) | The option became exercisable in five equal annual installments beginning on December 18, 2004, which was the first anniversary of the date on which the option was granted. |
(4) | The option, representing a right to purchase a total of 20,000 shares, became exercisable in five equal annual installments beginning on January 3, 2006, which was the first anniversary of the date on which the option was granted. |
Remarks: The filing of this Statement shall not be construed as an admission (a) that the person filing this Statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this Statement, or (b) that this Statement is legally required to be filed by such person. |