0001209191-12-008682.txt : 20120209 0001209191-12-008682.hdr.sgml : 20120209 20120209160545 ACCESSION NUMBER: 0001209191-12-008682 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120209 DATE AS OF CHANGE: 20120209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERMAN STEVEN L CENTRAL INDEX KEY: 0001205405 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18914 FILM NUMBER: 12587230 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dorman Products, Inc. CENTRAL INDEX KEY: 0000868780 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 232078856 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3400 E WALNUT ST CITY: COLMAR STATE: PA ZIP: 18915 BUSINESS PHONE: 2159971800 MAIL ADDRESS: STREET 1: 3400 E WALNUT ST CITY: COLMAR STATE: PA ZIP: 18915 FORMER COMPANY: FORMER CONFORMED NAME: R & B INC DATE OF NAME CHANGE: 19930328 5 1 doc5.xml FORM 5 SUBMISSION X0304 5 2011-12-31 0 0 1 0000868780 Dorman Products, Inc. DORM 0001205405 BERMAN STEVEN L C/O DORMAN PRODUCTS, INC. 3400 WALNUT STREET COLMAR PA 18915 1 1 1 0 Chief Executive Officer Common Stock 2011-08-13 5 G 0 20753 0.00 D 1026213 I By Grantor Retained Annuity Trust Common Stock 2011-08-13 5 G 0 20753 0.00 A 53457 I By Children in Trust Common Stock 2011-11-18 4 S 0 L 3100 38.13 D 1026213 I By Grantor Retained Annuity Trust Common Stock 2011-12-30 5 G 0 3914 0.00 D 787062 D Common Stock 2011-12-31 5 G 0 51050 0.00 D 1026213 I By Grantor Retained Annuity Trust Common Stock 2011-12-31 5 G 0 51050 0.00 A 53457 I By Children in Trust Common Stock 51648 I By Chartiable Remainder Trust Common Stock 109864 I By Partnership Represents the reporting person's proprtionate beneficial ownership in the shares held by Partnership. The filing of this Statement shall not be construed as an admission (a) that the person filing this Statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this Statement, or (b) that this Statement is legally required to be filed by such person. /s/ Steven L. Berman 2012-02-09