0001225208-12-012030.txt : 20120514 0001225208-12-012030.hdr.sgml : 20120514 20120514110434 ACCESSION NUMBER: 0001225208-12-012030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120514 DATE AS OF CHANGE: 20120514 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COOPER TIRE & RUBBER CO CENTRAL INDEX KEY: 0000024491 STANDARD INDUSTRIAL CLASSIFICATION: TIRES AND INNER TUBES [3011] IRS NUMBER: 344297750 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LIMA & WESTERN AVENUES CITY: FINDLAY STATE: OH ZIP: 45840 BUSINESS PHONE: 4194231321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHUEY JOHN H CENTRAL INDEX KEY: 0001046325 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04329 FILM NUMBER: 12837055 MAIL ADDRESS: STREET 1: COOPER TIRE & RUBBER COMPANY STREET 2: LIMA AND WESTERN AVENUES CITY: FINDLAY STATE: OH ZIP: 45840 4 1 doc4.xml X0305 4 2012-05-11 0000024491 COOPER TIRE & RUBBER CO CTB 0001046325 SHUEY JOHN H 701 LIMA AVENUE FINDLAY OH 45840 1 Phantom Stock 2012-05-11 4 A 0 6642.3120 15.0550 A Common Stock 6642.3120 46710.8060 D Each phantom stock unit will convert to one share of Common Stock. The phantom stock units are to be settled in cash upon the reporting person's termination of service as a director. /s/ Jack J. McCracken Attorney-in-Fact for John H. Shuey 2012-05-14