-----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, VG6f5ATJ6u4J0Z1SLM0jOaqn9WrrjhLh+pq1L1qxYNMsIyfJQF/RB9TqQRiTu9d/ iBBUPtSHb6BTzMkGgqQJyQ== 0001193310-03-000009.txt : 20030212 0001193310-03-000009.hdr.sgml : 20030212 20030212164019 ACCESSION NUMBER: 0001193310-03-000009 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021201 FILED AS OF DATE: 20030212 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: KLYN STEVE J CENTRAL INDEX KEY: 0001193310 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 MAIL ADDRESS: STREET 1: MAYTAG CORP STREET 2: 403 WEST FOURTH STREET N CITY: NEWTON STATE: IA ZIP: 50208 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAYTAG CORP CENTRAL INDEX KEY: 0000063541 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD APPLIANCES [3630] IRS NUMBER: 420401785 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00655 FILM NUMBER: 03555014 BUSINESS ADDRESS: STREET 1: 403 W 4TH ST N CITY: NEWTON STATE: IA ZIP: 50208 BUSINESS PHONE: 6417927000 MAIL ADDRESS: STREET 1: 403 W. 4TH STREET NW CITY: NEWTON STATE: IA ZIP: 50208 FORMER COMPANY: FORMER CONFORMED NAME: MAYTAG CO DATE OF NAME CHANGE: 19870602 5 1 edgar.txt FORM 5 - 12-01-2002 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Steven J. Klyn 403 West Fourth Street North P.O. Box 39 IA, Newton 50208 2. Issuer Name and Ticker or Trading Symbol Maytag Corporation (MYG) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 12/2002 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Vice President & Treasurer 7. Individual or Joint/Group Reporting (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 | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Purchase Plan | | | | | |472 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Dividend Reinvestment Plan | | | | | |62 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Maytag 401(k) Plan | | | | | |281 |I |By 401(k) 1 | - -----------------------------------------------------------------------------------------------------------------------------------| Maytag ESOP Plan | | | | | |843 |I |By ESOP Plan 1 | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Option (R|19.00 | | | | | |11/15|Common Stock| | |530 |D | | ight to buy) | | | | | | |/2006| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|31.5625 | | | | | |11/13|Common Stock| | |430 |D | | ight to buy) | | | | | | |/2007| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|46.3438 | | | | | |08/27|Common Stock| | |490 |D | | ight to buy) | | | | | | |/2008| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|45.50 | | | | | |11/11|Common Stock| | |1000 |D | | ight to buy) | | | | | | |/2009| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|28.3750 | | | | | |11/09|Common Stock| | |10000 |D | | ight to buy) | | | | | | |/2010| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|28.83 | | | | |2 |11/07|Common Stock| | |10000 |D | | ight to buy) | | | | | | |/2011| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (R|25.575 | | | | |3 |11/15|Common Stock| | |10000 |D | | ight to buy) | | | | | | |/2012| | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Deferred Compensation Pl|28.50 | | | | |4 | |Common Stock| | |112 |I |By Deferred | an (phantom stock units)| | | | | | | | | | | | |Comp Plan | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: 1. Based on account balance as of December 31, 2002. 2. This option has a three-tier vesting schedule; 1/3 vests 11/08/2002, 1/3 vests 11/08/2003 and final 1/3 vests 11/08/2004. 3. This option has a three-tier vesting schedule; 1/3 vests 11/15/2003, 1/3 vests 11/15/2004 and final 1/3 vests 11/15/2005. 4. Payable in cash upon retirement or other termination. SIGNATURE OF REPORTING PERSON Steven J. Klyn Signed by Patricia J. Martin, as attorney in fact for Steven J. Klyn
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