-----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, Flr07FxfFOpoIGehLnByuY79uYjsGHpco8wRaOG/RO0hDhz4UgdbRLuikg2AaRnX rUKlwb1A4jOYhKV++LlU1w== 0000950137-02-006004.txt : 20021106 0000950137-02-006004.hdr.sgml : 20021106 20021106160342 ACCESSION NUMBER: 0000950137-02-006004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021106 FILED AS OF DATE: 20021106 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LITTELFUSE INC /DE CENTRAL INDEX KEY: 0000889331 STANDARD INDUSTRIAL CLASSIFICATION: SWITCHGEAR & SWITCHBOARD APPARATUS [3613] IRS NUMBER: 363795742 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20388 FILM NUMBER: 02811258 BUSINESS ADDRESS: STREET 1: 800 E NORTHWEST HWY CITY: DES PLAINES STATE: IL ZIP: 60016 BUSINESS PHONE: 7088241188 MAIL ADDRESS: STREET 1: 800 E. NORTHWEST HWY CITY: DES PLAINES STATE: IL ZIP: 60016 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: GRILLO ANTHONY CENTRAL INDEX KEY: 0001070847 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: PLEASANTVILLE RD CITY: NEW VERNON STATE: NJ ZIP: 07976 BUSINESS PHONE: 2128573191 MAIL ADDRESS: STREET 1: PLEASANTVILLE RD CITY: NEW VERNON STATE: NJ ZIP: 07976 4 1 c72836ae4.htm FORM 4 Form 4
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 4

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(h) of the Investment Company Act of 1940

o 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*
(Last, First, Middle)
2. Issuer Name and Ticker or
Trading Symbol
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  Grillo, Anthony
  Littelfuse, Inc. (LFUS)
 
  Pleasantville Road
4. Statement for Month/Day/Year 5. If Amendment, Date of Original (Month/Day/Year)
    November 6, 2002
 
  (Street) 6. Relationship of Reporting Person(s)
to Issuer
(Check All Applicable)
7. Individual or Joint/Group Filing
(Check Applicable Line)
  New Vernon, NJ 07976
(City)                (State)           (Zip)
  x  Director o  10% Owner   x Form filed by One Reporting Person
    o  Officer (give title below)   o Form filed by More than One Reporting Person
    o  Other (specify below)  
       
     

*   If the form is filed by more than one reporting person, see instruction 4(b)(v).

 


 


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
Transactions(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   11/6/02   (1) A V   609   A $16.00     (2) 9,077     I   Deferred Comp

  Common Stock               18,300     D  

  Common Stock               1,300     I   By Wife

  Common Stock               6,000     I   By Children

                     

                     

                     

Page 2


 


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)

                      Code V   (A) (D)

  Stock Options (Right to Buy)   $3.867          

  Stock Options (Right to Buy)   $9.625          

  Stock Options (Right to Buy)   $11.155          

  Stock Options (Right to Buy)   $16.50          

  Stock Options (Right to Buy)   $19.00          

  Stock Options (Right to Buy)   $20.125          

  Stock Options (Right to Buy)   $23.00          

  Stock Options (Right to Buy)   $25.20          

  Stock Options (Right to Buy)   $25.25          

  Stock Options (Right to Buy)   $27.10          

  Stock Options (Right to Buy)   $35.50          

Page 3


 


Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned — Continued
(e.g., puts, calls, warrants, options, convertible securities)

6. Date Exercisable and
Expiration Date

(Month/Day/Year)
7. Title and Amount
of Underlying Securities

(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 of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 4)
11. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

  Date
Exercisable
Expiration
Date
  Title Amount or
Number of
Shares
                       

  01/24/07   Common Stock         4,000     D  

  02/12/08   Common Stock         4,000     D  

  05/06/09   Common Stock         4,000     D  

  05/05/10   Common Stock         4,400     D  

  04/26/11   Common Stock         4,400     D  

  04/30/14   Common Stock         5,000     D  

  04/25/12   Common Stock         5,000     D  

  04/26/17   Common Stock         5,000     D  

  05/01/13   Common Stock         5,000     D  

  04/27/16   Common Stock         5,000     D  

  04/28/15   Common Stock         5,000     D  

Explanation of Responses:

(1) Purchase of 609 shares of Common Stock by the Trustee under the Littelfuse Deferred Compensation Plan for Non-employee Directors (the "Plan") for the benefit of the reporting person in transaction exempt under Rule 16(b)-3. (2) The shares are held by the Trustee of the Plan for the benefit of the reporting person.

/s/ Anthony Grillo 11/6/02

**Signature of Reporting Person
 
Date


Reminder:   Report on a separate line for each class of securities beneficially owned directly or indirectly.
 
**   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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