4 1 form4.txt RETHORE FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL ---------------------------- OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response.......0.5 ---------------------------- FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 [_] Check this box if no longer subject to Section 16. Form 4 or 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) ------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Rethore, Bernard G. ------------------------------------------------------------------------------- (Last) (First) (Middle) 7887 Washington Village Drive ------------------------------------------------------------------------------- (Street) Dayton, OH 45459 ------------------------------------------------------------------------------- (City) (State) (Zip) ------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Amcast Industrial Corporation (AIZ) ------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ------------------------------------------------------------------------------- 4. Statement for Month/Day/Year January 2, 2003 ------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Day/Year) ------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) --------------------------------------------------------------- ------------------------------------------------------------------------------- 7. 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 Acquired, Disposed of, or Beneficially Owned ================================================================================
2A. 4. Securities Deemed Acquired(A) 2. Execution 3. or Disposed(D) 5. Transaction Date, Transaction (Instr.3, 4 & 5) Amount of Securities 6. Ownership 7. Nature of Date if any Code ------------------ Beneficially Owned Form: Direct Indirect 1. (Month/ (Month/ (Instr. 8) (A) Following Reported (D) or Beneficial Title of Security Day/ Day/ ----------- or Transaction(s) Indirect (I) Ownership (Instr. 3) Year) Year) Code V Amount (D) Price (Instr. 3 & 4) (Instr. 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------------------- Common Shares 1/2/2003 1/2/2003 A 9,142 A (1) ----------------------------------------------------------------------------------------------------------------------------------- Common Shares 1/2/2003 1/2/2003 A 200 A (2) 17,291(3) D ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
================================================================================ Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
5. Number of Derivative Securities Acquired(A) 6. 2. 3A. 4. or Disposed Date Exercisable and 1. Conversion 3. Deemed Transaction of (D) Expiration Date Title of or Exercise Transaction Execution Code (Instr. 3 (Month/Day/Year) Derivative Price of Date Date, if (Instr. 8) 4, and 5) ---------------------- Security Derivative (Month/Day/ any (Month/ ----------- ----------- Date Expiration (Instr. 3) Security Year) Day/Year) Code V (A) (D) Exercisable Date ----------------------------------------------------------------------------------------------------------------------------------- Stock Option (Right to Buy) $1.755 1/2/2003 1/2/2003 A 1,500 1/2/2004 1/1/2008 ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
7. Title and Amount of 9. 10. Underlying Number of Ownership Securities Derivative Form of (Instr.3 and 4) Securities Derivative ---------------------- Beneficially Security 11. Amount 8. Owned Direct (D) Nature of or Price of Following or Indirect Number Derivative Reported Indirect Beneficial of Security Transaction(s) (I) Ownership Title Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------------------- Common Shares 1,500 1,500 D ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
Explanation of responses: (1) Represents payment of yearly director stipend in shares of Amcast Industrial Corporation stock rather than cash. (2) Represents additional director compensation granted by Company in restricted stock rather than cash. (3) Transferred 2,000 to spouse pursuant to a domestic relations order. /s/ Bernard G. Rethore, by Sandra L. Rawnsley, Attorney-in-Fact under POA filed herewith 1/3/03 -------------------------------- ----------------- **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 4(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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.