0001181431-13-045618.txt : 20130819
0001181431-13-045618.hdr.sgml : 20130819
20130819205121
ACCESSION NUMBER: 0001181431-13-045618
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130815
FILED AS OF DATE: 20130819
DATE AS OF CHANGE: 20130819
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: POWER SOLUTIONS INTERNATIONAL, INC.
CENTRAL INDEX KEY: 0001137091
STANDARD INDUSTRIAL CLASSIFICATION: ENGINES & TURBINES [3510]
IRS NUMBER: 330963637
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 MITTEL DRIVE
CITY: WOOD DALE
STATE: IL
ZIP: 60191
BUSINESS PHONE: 630.350.9400
MAIL ADDRESS:
STREET 1: 201 MITTEL DRIVE
CITY: WOOD DALE
STATE: IL
ZIP: 60191
FORMER COMPANY:
FORMER CONFORMED NAME: FORMAT INC
DATE OF NAME CHANGE: 20060901
FORMER COMPANY:
FORMER CONFORMED NAME: FORMAT INC /FA/
DATE OF NAME CHANGE: 20010321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cohen Eric A.
CENTRAL INDEX KEY: 0001547232
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35944
FILM NUMBER: 131049538
MAIL ADDRESS:
STREET 1: C/O POWER SOLUTIONS INTERNATIONAL, INC.
STREET 2: 655 WHEAT LANE
CITY: WOOD DALE
STATE: IL
ZIP: 60191
4
1
rrd388764.xml
FORM 4
X0306
4
2013-08-15
0
0001137091
POWER SOLUTIONS INTERNATIONAL, INC.
PSIX
0001547232
Cohen Eric A.
C/O 201 MITTEL DRIVE
WOOD DALE
IL
60191
0
1
0
0
Chief Operating Officer
Common Stock
2013-08-15
4
M
0
181291
22.07
A
181291
D
Common Stock
2013-08-15
4
D
0
84787
47.19
D
96504
D
Common Stock
2013-08-15
4
F
0
42314
48.75
D
54190
D
Stock Appreciation Right
22.07
2013-08-15
4
M
0
181291
0
D
2022-06-06
Common Stock
181291
362581
D
Represent deemed dispositions of shares of common stock to the Issuer in connection with the exercise of the stock appreciation right (the "SAR"), including as a result of withholding of shares of common stock to satisfy tax withholding obligations.
The Issuer granted the SAR on June 6, 2012 (the "Grant Date"), subject to stockholder approval of the Issuer's 2012 Incentive Compensation Plan (the "2012 Plan") under which the SAR was granted. The Issuer's stockholders approved the 2012 Plan on August 29, 2012. The SAR vests and becomes exercisable in three equal installments on each of the first, second and third anniversaries of the Grant Date. However, the SAR provided that it was not to become exercisable until the date that is the later of (a) the date the Issuer's stockholders approve the 2012 Plan and (b) the last of any seven Valuation Dates (as defined in the award agreement) within any period of ten or fewer Valuation Dates that commence after the Grant Date and prior to June 6, 2022, on each of which the market value per share of common stock (determined as provided in the award agreement) is at least $22.07. Such market condition has been satisfied.
/s/ Catherine V. Andrews, attorney-in-fact for Eric Cohen
2013-08-19