SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Borne Laurent

(Last) (First) (Middle)
C/O STONERIDGE, INC.
39675 MACKENZIE DRIVE, SUITE 400

(Street)
NOVI MI 48377

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/07/2019
3. Issuer Name and Ticker or Trading Symbol
STONERIDGE INC [ SRI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President Electronics Division
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Share Units/Performance Shares (1) (1) Common Shares, without par value 20,807 (1) D
Explanation of Responses:
1. Shares Units and Performance Shares granted to the Reporting Person on September 10, 2018 under the Company's Long-Term Incentive Plan, of which 5,460 Share Units vest and will be paid on a one-for-one basis in Common Shares on March 10, 2021 depending on continued employment until that date, 11,830 Performance Shares vest and will be paid on a one-for-one basis in Common Shares on March 10, 2021 depending on continued employment until that date and on the Company's performance during 2018 through 2020, and 3,517 Shares Units vest and will be paid on a one-for-one basis in Common Shares on September 10, 2020 depending on continued employment until that date.
/s/ Robert M. Loesch, by power of attorney 01/15/2019
** 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 5 (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.
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