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*
HERMANEK DONALD J

(Last) (First) (Middle)
2 WESTBROOK CORPORATE CENTER
SUITE 500

(Street)
WESTCHESTER IL 60154

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INSURANCE AUTO AUCTIONS, INC [ IAAI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SR VP Sales and Marketing
3. Date of Earliest Transaction (Month/Day/Year)
05/25/2005
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
Common Stock 05/25/2005 D 23,243 D(1) $28.25 0 D
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
Employee Stock Option (right to buy) $13.85 05/25/2005 D 30,000 (2) 11/14/2013 Commmon Stock 30,000 $14.4 0 D
Employee Stock Option (right to buy) $16 05/25/2005 D 25,000 (3) 09/05/2010 Common Stock 25,000 (3) 0 D
Employee Stock Option (right to buy) $13.94 05/25/2005 D 40,000 (4) 03/07/2011 Common Stock 40,000 $14.31 0 D
Employee Stock Option (right to buy) $15.5 05/25/2005 D 23,476 (5) 12/16/2012 Common Stock 23,476 $12.75 0 D
Employee Stock Option (right to buy) $15.5 05/25/2005 D 6,524 (6) 12/16/2012 Common Stock 6,524 (6) 0 D
Explanation of Responses:
1. Disposed of pursuant to merger agreement by and among issuer, Axle Merger Sub, Inc. and Axle Holdings, Inc.
2. This option was canceled in the merger in exchange for a cash payment of $432,000, representing the difference between the exercise price of the option and the offer price of $28.25 for the underlying IAAI common stock pursuant to the merger agreement.
3. This option was assumed by Axle Holdings, Inc. in the merger and replaced with an option to purchase 27,570 shares of Axle Holdings, Inc. common stock at $14.51 per share.
4. This option was canceled in the merger in exchange for a cash payment of $572,400, representing the difference between the exercise price of the option and the offer price of $28.25 for the underlying IAAI common stock pursuant to the merger agreement.
5. This option was canceled in the merger in exchange for a cash payment of $299,325, representing the difference between the exercise price of the option and the offer price of $28.25 for the underlying IAAI common stock pursuant to the merger agreement.
6. This option was assumed by Axle Holdings, Inc. in the merger and replaced with an option to purchase 7,195 shares of Axle Holdings, Inc. common stock at $14.06 per share.
/s/ Donald J. Hermanek 05/31/2005
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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