FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
TOR MINERALS INTERNATIONAL INC [ TORM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/03/2012 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 05/03/2012 | P | 19,160(1) | A | $50,774 | 47,801(2) | I | Shares held by self, spouse and TWP(2) | ||
Common Stock | 05/03/2012 | P | 500(3) | A | $2,875(3) | 48,301(4) | I | Ownership includes self, spouse and TWP, Inc.(4) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
6% Convertible Debenture | $2.65 | 05/03/2012 | C | 18,868(1) | 05/04/2009 | 05/04/2016 | Common Stock | 18,868(1) | $50,000(1) | 0 | I | Beneficial Ownership includes Self and Spouse | |||
Optoin Right to Buy | $5.75 | 05/03/2012 | X | 500 | 05/13/2002 | 05/12/2012 | Common Stock | 500(1) | $2,875(1) | 0 | D |
Explanation of Responses: |
1. Purchase represents the conversion of 6% Convertible Debentures (the "Debenture"), due May 4, 2016, at a conversion price of $2.65/ea. The Debenture, in the amount of $50,000, was held by both Mr. Pauken and his wife since May 4, 2009. The total shares acquired include 292 shares related to the conversion of accrued interest on the Debenture and represents $774 of the total purchase price of $50,774 |
2. Beneficial ownership consist of 28,043 shares owned directly by Mr. Pauken, 11,020 owned by his spouse and 8,738 owned by TWP, Inc |
3. Exercise of 500 options granted 5/13/2002 under the TOR Minerals Option Plan at an exercise price of $5.75/ea. |
4. Beneficial ownership includes 28,543 shares directly owned, 11,020 owned by spouse and 8,738 owned by TWP, Inc. |
THOMAS W PAUKEN | 05/03/2012 | |
** 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. |