4 1 l99600ae4.htm KEITHLEY INSTRUMENTS, INC./WHITE FORM 4 Keithley Instruments, Inc./White Form 4
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

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

o Check this box if no longer
subject to Section 16.
Form 4 or Form 5
obligations may continue.
See Instruction 1(b)

1. Name and Address of Reporting
Person*
(Last, First, Middle)
2. Issuer Name and Ticker or
Trading Symbol
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  White, R. Elton
  Keithley Instruments, Inc. KEI
 
  8330 Sanderling Road
4. Statement for (Month/Day/Year) 5. If Amendment, Date of Original (Month/Day/Year)
    March 10, 2003
 
  (Street) 6. Relationship of Reporting Person(s) to Issuer (Check All Applicable) 7. Individual or Joint/Group Filing
(Check Applicable Line)
  Sarasota, FL 34242
(City)                (State)           (Zip)
  x  Director o  10% Owner   x Form filed by One Reporting Person
    o  Officer (give title below)   o Form filed by More than One Reporting Person
    o  Other (specify below)  
       
     

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).
 

 


 


Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)
2. Transaction Date
(Month/Day/Year)
2a. Deemed Execution
Date, if any.

(Month/Day/Year)
3. Transaction Code
(Instr. 8)
4. Securities Acquired (A)
or Disposed of (D)

(Instr. 3, 4 and 5)
5. Amount of Securities
Beneficially Owned
Following Reported
Transactions(s)

(Instr. 3 and 4)
6. Ownership
Form:
Direct (D) or
Indirect (I)

(Instr. 4)
7. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

              Code V   Amount (A)
or
(D)
Price            

  Common Shares             8,000     D   (1) Trust

  Common Shares               7,000     D   (2) Partnership

                     

                     

                     

                     

                     

                   

                   

                   

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Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned
  (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
Security

(Instr. 3)
2. Conversion or Exercise
Price of Derivative
Security
3. Transaction
Date

(Month/Day/Year)
3a. Deemed Execution
Date, if any

(Month/Day/Year)
4. Transaction
Code

(Instr. 8)
5. Number of Derivative Securities
Acquired (A) or Disposed of (D)

(Instr. 3, 4 and 5)

                      Code V   (A) (D)

  Common Stock Option   $36.85     2/17/01      

  Common Stock Option   $19.23     2/16/02      

  Common Stock Option   $10.70     2/15/03      

  Phantom Stock Units   $7.656     9/19/95      

  Phantom Stock Units   $7.938     12/14/95      

  Phantom Stock Units   $8.313     12/21/95      

  Phantom Stock Units   $7.50     2/22/96      

  Phantom Stock Units   $7.188     5/15/96      

  Phantom Stock Units   $4.563     9/11/96      

  Phantom Stock Units   $4.625     9/11/96      

  Phantom Stock Units   $5.00     12/12/96      

  Phantom Stock Units   $5.0625     12/12/96      

  Phantom Stock Units   $4.625     2/21/97      

  Phantom Stock Units   $4.375     5/15/97      

  Phantom Stock Units   $5.4375     7/23/97      

  Phantom Stock Units   $5.875     9/24/97      

  Phantom Stock Units   $5.9063     9/24/97      

  Phantom Stock Units   $5.00     12/9/97      

  Phantom Stock Units   $5.0625     12/9/97      

  Phantom Stock Units   $4.375     2/18/98      

  Phantom Stock Units   $4.0625     5/6/98      

  Phantom Stock Units   $4.0360     5/6/98      

  Phantom Stock Units   $3.25     7/21/98      

  Phantom Stock Units   $3.3125     7/21/98      

  Phantom Stock Units   $2.563     9/18/98      

  Phantom Stock Units   $2.5938     9/18/98      

  Phantom Stock Units   $2.469     10/23/98      

  Phantom Stock Units   $3.607     12/12/98      

  Phantom Stock Units   $3.8963     2/19/99      

  Phantom Stock Units   $4.0831     5/7/99      

  Phantom Stock Units   $4.2190     7/19/99      

  Phantom Stock Units   $7.00     9/14/99      

  Phantom Stock Units   $10.00     12/6/99      

  Phantom Stock Units   $17.5625     2/14/00      

  Phantom Stock Units   $30.3125     5/10/00      

  Phantom Stock Units   $55.8125     7/25/00      

  Phantom Stock Units   $64.00     9/13/00      

  Phantom Stock Units   $47.447     12/11/00      

  Phantom Stock Units   $31.70     2/21/01      

  Phantom Stock Units   $28.060     5/8/01      

  Phantom Stock Units   $18.510     7/23/01      

  Phantom Stock Units   $15.720     9/17/01      

  Phantom Stock Units   $17.10     12/10/01      

  Phantom Stock Units   $19.0971     2/20/02      

  Phantom Stock Units   $18.40     5/6/02      

  Phantom Stock Units   $14.310     7/22/02      

  Phantom Stock Units   $14.940     9/9/02      

  Phantom Stock Units   $12.4147     12/6/02      

  Phantom Stock Units   $11.25     2/18/03       527.03

  Phantom Stock Units   $10.7573     3/10/03     A   258.33

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Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned — Continued
(e.g., puts, calls, warrants, options, convertible securities)

6. Date Exercisable and
Expiration Date

(Month/Day/Year)
7. Title and Amount
of Underlying Securities

(Instr. 3 and 4)
8. Price of Derivative
Security

(Instr. 5)
9. Number of Derivative
Securities Beneficially Owned
Following Reported Transaction(s)

(Instr. 4)
10. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 4)
11. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

  Date
Exercisable
Expiration
Date
  Title Amount or
Number of
Shares
                       

  8/18/01 2/17/11   Common Stk 10,000   $ -       10,000     D  

  8/17/02 2/16/12   Common Stk 10,000   $ -       10,000     D  

  8/16/03 2/15/13   Common Stk 10,000   $ -       10,000     D  

  (3) (3)   Common Stk 549.18   $ -       549.18     D  

  (3) (3)   Common Stk 631.46   $ -       631.46     D  

  (3) (3)   Common Stk 19.56   $ -       19.56     D  

  (3) (3)   Common Stk 335.72   $ -       335.72     D  

  (3) (3)   Common Stk 717.70   $ -       717.70     D  

  (3) (3)   Common Stk 442.72   $ -       442.72     D  

  (3) (3)   Common Stk 677.40   $ -       677.40     D  

  (3) (3)   Common Stk 327.68   $ -       327.68     D  

  (3) (3)   Common Stk 706.62   $ -       706.62     D  

  (3) (3)   Common Stk 783.48   $ -       783.48     D  

  (3) (3)   Common Stk 818.32   $ -       818.32     D  

  (3) (3)   Common Stk 793.10   $ -       793.10     D  

  (3) (3)   Common Stk 130.36   $ -       130.36     D  

  (3) (3)   Common Stk 210.90   $ -       210.90     D  

  (3) (3)   Common Stk 171.76   $ -       171.76     D  

  (3) (3)   Common Stk 674.54   $ -       674.54     D  

  (3) (3)   Common Stk 845.00   $ -       845.00     D  

  (3) (3)   Common Stk 218.46   $ -       218.46     D  

  (3) (3)   Common Stk 816.70   $ -       816.70     D  

  (3) (3)   Common Stk 235.38   $ -       235.38     D  

  (3) (3)   Common Stk 1,426.42   $ -       1,426.42     D  

  (3) (3)   Common Stk 373.26   $ -       373.26     D  

  (3) (3)   Common Stk 1,029.56   $ -       1,029.56     D  

  (3) (3)   Common Stk 472.86   $ -       472.86     D  

  (3) (3)   Common Stk 1,461.00   $ -       1,461.00     D  

  (3) (3)   Common Stk 1,145.58   $ -       1,145.58     D  

  (3) (3)   Common Stk 939.44   $ -       939.44     D  

  (3) (3)   Common Stk 1,321.88   $ -       1,321.88     D  

  (3) (3)   Common Stk 514.10   $ -       514.10     D  

  (3) (3)   Common Stk 571.16   $ -       571.16     D  

  (3) (3)   Common Stk 262.70   $ -       262.70     D  

  (3) (3)   Common Stk 136.34   $ -       136.34     D  

  (3) (3)   Common Stk 104.53   $ -       104.53     D  

  (3) (3)   Common Stk 55.81   $ -       55.81     D  

  (3) (3)   Common Stk 123.89   $ -       123.89     D  

  (3) (3)   Common Stk 148.06   $ -       148.06     D  

  (3) (3)   Common Stk 195.37   $ -       195.37     D  

  (3) (3)   Common Stk 326.88   $ -       326.88     D  

  (3) (3)   Common Stk 227.21   $ -       227.21     D  

  (3) (3)   Common Stk 355.29   $ -       355.29     D  

  (3) (3)   Common Stk 263.33   $ -       263.33     D  

  (3) (3)   Common Stk 250.21   $ -       250.21     D  

  (3) (3)   Common Stk 457.92   $ -       457.92     D  

  (3) (3)   Common Stk 243.70   $ -       243.70     D  

  (3) (3)   Common Stk 530.47   $ -       530.47     D  

  (3) (3)   Common Stk 527.03   $ -       527.03     D  

  (3) (3)   Common Stk 258.33   $ -       258.33     D  

Explanation of Responses:

(1) R Elton White TTEE R Elton White Trust UA Dated 05/16/94

(2) REW Family Partnership Ltd

(3) The phantom stock units were accrued under the Keithley Instruments, Inc. Deferred Stock Plan and are to be settled in common stock upon the retirement from the Board of the reporting person.

Mark J. Plush, Attorney-in Fact   3/10/03

**Signature of Reporting Person
 
Date


**   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.
 

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