-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BdRfF+KUd+/sgg3c47DWtduGGud9KuKdNr0k7cwDIxaWVUbxxYi01VTdnX5jqXkr b+UWUqepBH1cYUxg/mi6BA== 0001140361-05-003750.txt : 20050518 0001140361-05-003750.hdr.sgml : 20050518 20050518092523 ACCESSION NUMBER: 0001140361-05-003750 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050516 FILED AS OF DATE: 20050518 DATE AS OF CHANGE: 20050518 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KATY INDUSTRIES INC CENTRAL INDEX KEY: 0000054681 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559] IRS NUMBER: 751277589 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 765 STRAITS TURNPIKE STREET 2: SUITE 2000 CITY: MIDDLEBURY STATE: CT ZIP: 06762 BUSINESS PHONE: 2035980397 MAIL ADDRESS: STREET 1: 765 STRAITS TURNPIKE STREET 2: SUITE 2000 CITY: MIDDLEBURY STATE: CT ZIP: 06762 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBI C MICHAEL CENTRAL INDEX KEY: 0001194836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05558 FILM NUMBER: 05840279 BUSINESS ADDRESS: BUSINESS PHONE: 2035980397 MAIL ADDRESS: STREET 1: C/O KATY INDUSTRIES INC STREET 2: 765 STRAITS TURNPIKE STE 2000 CITY: MIDDLEBURY STATE: CT ZIP: 06762 4 1 doc1.xml FORM 4 X0202 4 2005-05-16 0 0000054681 KATY INDUSTRIES INC KT 0001194836 JACOBI C MICHAEL 358 TRANQUILITY ROAD MIDDLEBURY, CT X1 06762 1 1 0 0 President and CEO Common Stock 2005-05-16 2005-05-16 4 P 0 1300 3.66 A 44500 D Mr. Jacobi has also been granted 1,050,000 options to purchase common stock and 125,000 shares of stock appreciation rights. Both transactions have been reported on previously filed Form 4s. /s/ Michael C. Paul as attorney-in-fact for C. Michael Jacobi 2005-05-18 -----END PRIVACY-ENHANCED MESSAGE-----