4 1 c74654be4.htm STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Statement of Changes in Beneficial Ownership
 

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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)
  Karsh, Bruce A
  Littelfuse, Inc. (LFUS)
 
  c/o Oaktree Capital Management, LLC
333 South Grand Avenue, 28th Floor

4. Statement for (Month/Day/Year) 5. If Amendment, Date of Original (Month/Day/Year)
    February 12, 2003
 
  (Street) 6. Relationship of Reporting Person(s) to Issuer (Check All Applicable) 7. Individual or Joint/Group Filing
(Check Applicable Line)
  Los Angeles, CA 90071
(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)  
       
     

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).
 

 


 


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   2/12/03   (1) A V   545   A $17.436     (2) 8,662     I   Deferred Comp

  Common Stock               156,816     D  

                     

                     

                     

                     

                     

                   

                   

                   

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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)

  Common Stock (Right to Buy)   $19.00          

  Common Stock (Right to Buy)   $23.00          

  Common Stock (Right to Buy)   $25.25          

  Common Stock (Right to Buy)   $20.125          

  Common Stock (Right to Buy)   $35.50          

  Common Stock (Right to Buy)   $27.10          

  Common Stock (Right to Buy)   $25.20          

             

             

             

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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
                       

  04/26/11   Common Stock         4,400     D  

  04/25/12   Common Stock         5,000     D  

  05/1/13   Common Stock         5,000     D  

  04/30/14   Common Stock         5,000     D  

  04/28/15   Common Stock         5,000     D  

  04/27/16   Common Stock         5,000     D  

  04/26/17   Common Stock         5,000     D  

                 

                 

                 

Explanation of Responses:

(1) Purchase of 545 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. Certain shares which are held by the Trustee under the Plan for the benefit of the reporting person were previously reported as being directly owned. All of the shares held by the Trustee under the Plan for the benefit of the reporting person are now reported as being indirectly owned.

/s/ Bruce A Karsh   2/12/03

**Signature of Reporting Person
 
Date


**   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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