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