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*
TUCHMAN ROBERT L

(Last) (First) (Middle)
C/O REFAC
ONE BRIDGE PLAZA, SUITE 605

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
REFAC [ (AMEX:REF) ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
11/07/2003
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
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
Options to acquire common stock $5.02 11/07/2003 A 8,333 11/07/2003 11/07/2008 Common stock 8,333 (1) 175,000(2) D
Options to acquire common stock $5.02 11/07/2003 A 8,333 11/07/2004 11/07/2008 Common stock 8,333 (1) 175,000(2) D
Options to acquire common stock $5.02 11/07/2003 A 8,334 11/07/2005 11/07/2008 Common stock 8,334 (1) 175,000(2) D
Explanation of Responses:
1. Mr. Tuchman received from Refac 25,000 options to acquire shares of common stock pursuant to the Fifth Amended and Restated Employment Agreement between Mr. Tuchman and Refac, dated as of November 7, 2003.
2. Pursuant to the Agreement and Plan of Merger among Refac, Palisade Concentrated Equity Partnership L.P.("Palisade") and a wholly-owned subsidiary of Palisade (the "Merger Agreement"), dated as of August 19, 2002, Mr. Tuchman will acquire 0.2 shares of Refac common stock, $3.60 in cash and the Payment Right (as defined in the Merger Agreement) per option upon exercise of 150,000 of such options. With respect to the 25,000 options granted on November 7, 2003, Mr. Tuchman will acquire one share of Refac common stock per option exercised.
/s/ Robert L. Tuchman 11/07/2003
** 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).
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