SEC Form 4
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*
PAUKEN THOMAS W

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TOR MINERALS INTERNATIONAL INC [ TORM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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)
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 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)
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).
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