-----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, CxEVAlGqIzWBaSR7KQazMVYvLLf34UvYEKrq153PRmtizxaKMsyBxhkH2d/uU6/v AfzCq+Qtuyr92VSlJiPsJg== 0001290041-04-000020.txt : 20040727 0001290041-04-000020.hdr.sgml : 20040727 20040723100307 ACCESSION NUMBER: 0001290041-04-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040723 FILED AS OF DATE: 20040723 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: 04927911 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 2004-07-23 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 B Common Stock 2004-07-23 4 J 0 10000 D Class A Common Stock 10000 5622660 I See footnote The shares of Class B Common Stock are convertible on a 1-for-1 basis into shares of Class B Common Stock for no additional consideration. On July 23, 2004, an irrevocable trust of which the Reporting Person is trustee and of which Tara V. Horne is the sole beneficiary distributed to Tara V. Horne 10,000 shares of Class B Common Stock. 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) 20,200 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 2004-07-23 -----END PRIVACY-ENHANCED MESSAGE-----