SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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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*
PIGOTT MARK C

(Last) (First) (Middle)
777 106TH AVENUE NE

(Street)
BELLEVUE WA 98004

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PACCAR INC [ PCAR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CHAIRMAN & CEO
3. Date of Earliest Transaction (Month/Day/Year)
01/13/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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
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 Transaction(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 STOCK 694,968 D
COMMON STOCK (SIP) 01/13/2004 J(1) 41.2 A $79.86 14,995.8 D
COMMON STOCK (SIP) 01/13/2004 J(2) 0.2 A $84.05 14,996 D
COMMON STOCK (SIP) 01/13/2004 J(3) 209.5 A $85.9 15,205.5 D
COMMON STOCK (SIP) 01/13/2004 A(4) 160.3 A $62.38 15,365.8 D
COMMON STOCK 11,196 I(5) WIFE & CHILDREN
COMMON STOCK 402,682 I(6) EASCLIFFE COMPANY
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) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
STOCK OPTION $14.5 01/01/1998 04/25/2005 COMMON STOCK 59,595 59,595 D
STOCK OPTION $16.5 01/01/1999 04/30/2006 COMMON STOCK 63,813 63,813 D
STOCK OPTION $24.42 01/01/2000 04/29/2007 COMMON STOCK 79,275 79,275 D
STOCK OPTION $35.67 01/01/2001 04/28/2008 COMMON STOCK 59,437 59,437 D
STOCK OPTION $35.85 01/01/2002 04/27/2009 COMMON STOCK 92,110 92,110 D
STOCK OPTION $27.83 01/01/2003 01/25/2010 COMMON STOCK 104,089 104,089 D
STOCK OPTION $34.42 01/01/2004 01/24/2011 COMMON STOCK 101,434 101,434 D
STOCK OPTION $42.31 01/01/2005 01/23/2012 COMMON STOCK 84,363 84,363 D
STOCK OPTION $47.1 01/10/2006 01/15/2013 COMMON STOCK 73,608 73,608 D
COMMON STOCK (LTIP)(7) (7) (7) (7) COMMON STOCK 8,467.5 8,467.5 D
COMMON STOCK (DICP)(8) (8) (8) (8) COMMON STOCK 21,103.2 21,103.2 D
Explanation of Responses:
1. December 5, 2003 dividend on PACCAR Savings Investment Plan (SIP) shares reinvested pursuant to SIP. (SIP information based on most recent report from SIP Trustee - received January 13, 2004.)
2. Interest on SIP shares reinvested December 24, 2003 pursuant to SIP.
3. January 5, 2004 dividend on SIP shares reinvested pursuant to SIP.
4. Shares awarded January 8, 2004 under SIP.
5. Shares in which beneficial ownership is disclaimed.
6. Shares held with others.
7. Share units held in deferred phantom stock account under PACCAR Long Term Incentive Plan (LTIP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions.
8. Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions.
Remarks:
Fractional shares rounded to nearest 1/10.
Mark Pigott 01/14/2004
** 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.
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