-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MzcERCSZDNvIyOqfsVL4yinBo+z0qCjmI/apjroGz23t9aZQUYcooHQkq882Oqiy 65S/1IZJgcZMJOziBpr1WA== 0001042645-03-000062.txt : 20030502 0001042645-03-000062.hdr.sgml : 20030502 20030502120056 ACCESSION NUMBER: 0001042645-03-000062 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030430 FILED AS OF DATE: 20030502 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PUROFLOW INC CENTRAL INDEX KEY: 0000100591 STANDARD INDUSTRIAL CLASSIFICATION: GENERAL INDUSTRIAL MACHINERY & EQUIPMENT, NEC [3569] IRS NUMBER: 131947195 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-05622 FILM NUMBER: 03678688 BUSINESS ADDRESS: STREET 1: 16559 SATICOY STREET CITY: VAN NUYS STATE: CA ZIP: 91406 BUSINESS PHONE: 8187561388 MAIL ADDRESS: STREET 1: 16559 SATICOY STREET STREET 2: 1631 TENTH ST CITY: VAN NUYS STATE: CA ZIP: 91406 FORMER COMPANY: FORMER CONFORMED NAME: ULTRA DYNAMICS CORP DATE OF NAME CHANGE: 19830522 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BOSSELMANN RAINER H CENTRAL INDEX KEY: 0001028546 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4/A BUSINESS ADDRESS: STREET 1: ONE CHURCH STREET SUITE 302 CITY: ROCKVILLE STATE: MD ZIP: 20850 BUSINESS PHONE: 3013150027 MAIL ADDRESS: STREET 1: ONE CHURCH STREET SUITE 302 CITY: ROCKVILLE STATE: MD ZIP: 20850 4/A 1 form4.htm RAINER H. BOSSELMANN Form 4/A

FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instruction 1(b).

U.S. Securities and Exchange Commission
Washington, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP


OMB APPROVAL
OMB Number # 3235-0287
Expires: January 31, 2005

 

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(f) of the Investment company act of 1940

 

1.Name and Address of Reporting Person*
Bosselmann Rainer H.

2.Issuer Name and Ticker or Trading Symbol

Puroflow Incorporated - PFLW

 

6.Relationship of Reporting Person to Issuer
(Check all applicable)

(Last) (First) (Middle)

16715 Thurston Road


3. IRS identification Number of Reporting Person, if an entity (voluntary)

4.Statement for Month/Day/Year

04/30/03

___X_ Director
___X_ Officer (give title)

Chairman and CEO         

___X_ 10% Owner
_____ Other (Specify)

(Street)

Dickerson   MD  20842

5.If Amendment, Date of Original
(Month/Day/Year)
        01/03/03


7.Individual or Joint/Group Filing
(Check applicable line)

X Form filed by one Reporting Person
Form filed by more than one Reporting Person

(City) (State) (Zip)

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, of 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 Benefi-cially Owned Following Reported Transaction(s) (Instr. 3 and 4)


6.Ownership Form:
Direct (D)
Indirect (I)
(Instr. 4)


7.Nature of
Indirect
Beneficial
Ownership
(Instr. 4)


Code


V


Amount


(A) or(D)


Price

Common Stock

04/29/03

P

238,710

A

$7.75

238,710

D

Common Stock

 

 

 

       

  23,850

I

Spouse

               

 

   
                     
                     

*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.

FORM 4 (continued)
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 (M/D/Y)

3A.
Deemed Execution Date, if any (M/D/Y)

4. Transaction code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or disposed of (D) (Instr. 3,4,5)

6. Date Exercisable and Expiration Date (M/D/Y)

7. Title and Amount of Underlying Securities (Instr. 3,4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Insr. 4)

10. Ownership Form of Derivative Securities Beneficially Owned at end of month 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

       

Warrants

$7.75

01/09/03

     

120,000

x

       

$7.75

60,000

D

 
                               
                               
                               
                               
                               
                               


Explanation of Responses:
The warrants granted to the Bosselmann Group were allocated 60,000 each to Rainer Bosselmann, H. Haywood Miller and Arthur F. Trudel and held directly, solely and  beneficially by each.

** 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 provided is insufficient, see Instruction 6 for procedure.


/s/ Rainer H. Bosselmann
** Signature of Reporting Person


May 2, 2003
Date


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