-----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, GrknVfuNsjrt879PS2VHFsZdk98gvr8xbfDzOjNlkeIvhrwN5YEgr/edjzt8f4oR +dcwX80N7OhQZtRMhXWtcA== 0000075362-04-000050.txt : 20040210 0000075362-04-000050.hdr.sgml : 20040210 20040210125621 ACCESSION NUMBER: 0000075362-04-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040206 FILED AS OF DATE: 20040210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TEMBREULL MICHAEL A CENTRAL INDEX KEY: 0001191932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14817 FILM NUMBER: 04580873 BUSINESS ADDRESS: STREET 1: PACCAR INC STREET 2: P.O. BOX 1518 CITY: BELLEVUE STATE: WA ZIP: 98009 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PACCAR INC CENTRAL INDEX KEY: 0000075362 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 910351110 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PACCAR BUILDING STREET 2: 777 106TH AVENUE NE CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425 468 7383 MAIL ADDRESS: STREET 1: PACCAR BUILDING STREET 2: 777 106TH AVENUE NE CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: PACIFIC CAR & FOUNDRY CO DATE OF NAME CHANGE: 19720707 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-02-06 0000075362 PACCAR INC PCAR 0001191932 TEMBREULL MICHAEL A 777 106TH AVENUE NE BELLEVUE WA 98004 1 1 0 0 VICE CHAIRMAN COMMON STOCK 2004-02-06 4 M 0 10000 18.56 A 31024 D COMMON STOCK 2004-02-06 4 S 0 10000 56.19 D 21024 D COMMON STOCK (SIP) 32820.1 D STOCK OPTION 18.56 2004-02-06 4 M 0 10000 D 2003-01-01 2010-01-25 COMMON STOCK 63672 63672 D STOCK OPTION 22.94 2004-01-01 2011-01-24 COMMON STOCK 86449 86449 D STOCK OPTION 28.20 2005-01-01 2012-01-23 COMMON STOCK 71901 71901 D STOCK OPTION 31.40 2006-01-01 2013-01-15 COMMON STOCK 66498 66498 D STOCK OPTION 56.95 2007-01-01 2014-01-15 COMMON STOCK 36156 36156 D COMMON STOCK (LTIP) COMMON STOCK 30094.2 30094.2 D COMMON STOCK (DICP) COMMON STOCK 20107 20107 D On December 9, 2003 PACCAR declared a stock dividend payable February 5, 2004 to all holders of record of common stock on January 19, 2004 of one additional share of common stock for every two shares of common stock. As a result of the stock dividend the reporting person received 7,008 additional shares of PACCAR common stock on February 5, 2004. Shares held in PACCAR Savings Investment Plan (SIP). As a result of the stock dividend the reporting person received 10,940 additional shares of PACCAR common stock on February 5, 2004. Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). This option was previously reported as an option for 49,115 shares of common stock at an exercise price of $27.83. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $16.28 for a fractional share, valued as of January 19, 2004. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $16.75 for a fractional share, valued as of January 19, 2004. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Share units held in deferred phantom stock account under LTIP convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. Number of derivative securities and underlying securities adjusted to reflect 50% stock dividend. 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. Fractional shares rounded to nearest 1/10. M. A. Tembreull 2004-02-10 -----END PRIVACY-ENHANCED MESSAGE-----