0001104659-15-062556.txt : 20150828 0001104659-15-062556.hdr.sgml : 20150828 20150828203541 ACCESSION NUMBER: 0001104659-15-062556 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150826 FILED AS OF DATE: 20150828 DATE AS OF CHANGE: 20150828 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Polypore International, Inc. CENTRAL INDEX KEY: 0001292556 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 432049334 FISCAL YEAR END: 0103 BUSINESS ADDRESS: BUSINESS PHONE: (704) 587-8409 MAIL ADDRESS: STREET 1: 11430 N. COMMUNITY ROAD, SUITE 350 CITY: CHARLOTTE STATE: NC ZIP: 28277 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Toth Robert B CENTRAL INDEX KEY: 0001392923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32266 FILM NUMBER: 151083340 MAIL ADDRESS: STREET 1: C/O POLYPORE INTERNATIONAL, INC. STREET 2: 11430 N. COMMUNITY HOUSE ROAD, SUITE 350 CITY: CHARLOTTE STATE: NC ZIP: 28277-1591 4 1 a4.xml 4 X0306 4 2015-08-26 1 0001292556 Polypore International, Inc. PPO 0001392923 Toth Robert B C/O POLYPORE INTERNATIONAL, INC. 11430 N. COMMUNITY HOUSE ROAD, SUITE 350 CHARLOTTE NC 28277 1 1 0 0 Chairman, President and CEO Common Stock, par value $.01 per share 2015-08-26 4 D 0 122850 60.50 D 0 I Robert B. Toth Revocable Trust dated March 2, 2005. Employee Stock Options 34.98 2015-08-26 4 D 0 95293 25.52 D 2024-02-27 Common Stock 95293 0 D Employee Stock Options 36.42 2015-08-26 4 D 0 101689 24.08 D 2023-02-25 Common Stock 101689 0 D Employee Stock Options 56.98 2015-08-26 4 D 0 500000 3.52 D 2021-08-23 Common Stock 500000 0 D Employee Stock Options 9.94 2015-08-26 4 D 0 416467 50.56 D 2019-05-29 Common Stock 416467 0 D Reflects disposition of shares in exchange for cash price indicated pursuant to the Agreement and Plan of Merger by and among Asahi Kasei Corporation, ESM Holdings Corporation and Polypore International, Inc. dated February 23, 2015. Option was canceled in the merger between Polypore International, Inc. and ESM Holdings Corporation. in exchange for a cash payment of $60.50 minus exercise price. The options vest in three equal annual installments beginning on the date that is one year after they were issued. /s/Robert B. Toth 2015-08-26