-----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, TBQY4lgmsOSm/d7gptKqCSqg5GYdoIUJtDq69ta/qCUbYfLB//oi7k0yFNWh5LPQ i2wL9SxSogermb1VKHnABw== 0001290041-04-000019.txt : 20040719 0001290041-04-000019.hdr.sgml : 20040719 20040719135401 ACCESSION NUMBER: 0001290041-04-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040716 FILED AS OF DATE: 20040719 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WATTS WATER TECHNOLOGIES INC CENTRAL INDEX KEY: 0000795403 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FABRICATED METAL PRODUCTS [3490] IRS NUMBER: 042916536 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 BUSINESS PHONE: 9786881811 MAIL ADDRESS: STREET 1: 815 CHESTNUT STREET CITY: NORTH ANDOVER STATE: MA ZIP: 01845 FORMER COMPANY: FORMER CONFORMED NAME: WATTS INDUSTRIES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HORNE TIMOTHY P CENTRAL INDEX KEY: 0001235976 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11499 FILM NUMBER: 04919771 BUSINESS ADDRESS: STREET 1: WATTS INDUSTRIES INC STREET 2: ROUTE 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 BUSINESS PHONE: 9786881811 MAIL ADDRESS: STREET 1: WATTS INDUSTRIES INC STREET 2: ROUTE 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-07-16 0000795403 WATTS WATER TECHNOLOGIES INC WTS 0001235976 HORNE TIMOTHY P C/O WATTS WATER TECHNOLOGIES, INC. 815 CHESTNUT STREET NORTH ANDOVER MA 01845 1 0 1 0 Class A Common Stock 2004-07-16 4 C 0 50000 A 50000 D Class A Common Stock 2004-07-16 4 C 0 50000 A 58400 I See footnote Class B Common Stock 2004-07-16 4 C 0 50000 D Class A Common Stock 50000 1651220 D Class B Common Stock 2004-07-16 4 C 0 50000 D Class A Common Stock 50000 5632660 I See footnote The shares of Class A Common Stock were issued pursuant to the conversion on a 1-for-1 basis of shares of Class B Common Stock. The Reporting Person indirectly owns 50,000 shares of Class A Common Stock held by The George B. Horne Trust - 1982, 4,200 shares of Class A Common Stock held by The Daniel W. Horne Trust - 1980 and 4,200 shares of Class A Common Stock held by the Deborah Horne Trust - 1976. The Reporting Person serves as a trustee of each of these trusts. All shares of Class B Common Stock were convertible into shares of Class A Common Stock upon issuance and do not have an expiration date. Consists of the following shares of Class B Common Stock: (i) 1,924,600 shares held for the benefit of George B. Horne under a trust for which the Reporting Person serves as co-trustee, (ii) 1,210,840 shares held for the benefit of Daniel W. Horne under a trust for which the Reporting Person serves as trustee, (iii) 1,210,840 shares held for the benefit of Deborah Horne under a trust for which the Reporting Person serves as trustee, (iv) 1,085,840 shares held for the benefit of Peter W. Horne under a trust, which are subject to The Amended and Restated George B. Horne Voting Trust Agreement - 1997 (the "1997 Voting Trust") for which the Reporting Person serves as trustee, (v) 30,200 and 22,600 shares held for the benefit of Tara V. Horne and Tiffany R. Horne, respectively, under irrevocable trusts for which the Reporting Person serves as trustee, and (vi) 147,740 shares held for the benefit of Tiffany R. Horne under a trust, which are subject to the 1997 Voting Trust. Kenneth R. Lepage - Attorney-in-Fact 2004-07-19 -----END PRIVACY-ENHANCED MESSAGE-----