5 1 s295410.txt FORM 5 FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | ANNUAL STATEMENT OF |_____________________| CHANGES IN BENEFICIAL OWNERSHIP |OMB NUMBER: 3235-0362| |EXPIRES: | | DECEMBER 31, 2001 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE......1.0| Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 ---------------------------------------------------------------------------- 1. Name and Address of Reporting Person Wartner David E. ------------------------------------------------------------------------- (Last) (First) (Middle) 100 Tri-State Drive Suite 200 ------------------------------------------------------------------------- (Street) Lincolnshire IL 60069 ------------------------------------------------------------------------- (City) (State) (Zip) ---------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Ivex Packaging Corporation / IXX ---------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person, if an entity (Voluntary) ---------------------------------------------------------------------------- 4. Statement of Month/Year 2001 ---------------------------------------------------------------------------- 5. If amendment, Date of Original (Month/Year) ---------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner --- --- X Officer (give title below) Other (specify below) --- --- Vice President and Controller ------------------------------------------------------------- ---------------------------------------------------------------------------- 7. Individual or Joint/Group Reporting (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) Common Stock ---------------------------------------------------------------------------- 2. Transaction Date (Month/Day/Year) ---------------------------------------------------------------------------- 3. Transaction Code (Instr. 8) ---------------------------------------------------------------------------- 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) ---------------- ----------------- ----------------- Amount (A) or (D) Price ---------------------------------------------------------------------------- 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 10,292 ---------------------------------------------------------------------------- 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) D ---------------------------------------------------------------------------- 7. Nature of Indirect Beneficial Ownership (Instr. 4) ---------------------------------------------------------------------------- [TYPE ENTRIES HERE] ============================================================================ 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) Employee Stock Option (right to buy) ---------------------------------------------------------------------------- 2. Conversion or Exercise Price of Derivative Security $19.00 ---------------------------------------------------------------------------- 3. Transaction Date (Month/Day/Year) 12/31/01 ---------------------------------------------------------------------------- 4. Transaction Code (Instr. 8) A ---------------------------------------------------------------------------- 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 12,500 ------------------- ------------------ (A) (D) ---------------------------------------------------------------------------- 6. Date Exercisable and Expiration Date (Month/Day/Year) See explanation 12/31/11 ------------------------- ------------------------ Date Exercisable Expiration Date ---------------------------------------------------------------------------- 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Common Stock 12,500 ------------------------ -------------------------------- Title Amount or Number of Shares ---------------------------------------------------------------------------- 8. Price of Derivative Security (Instr. 4) ---------------------------------------------------------------------------- 9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) 46,000 ---------------------------------------------------------------------------- 10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D ---------------------------------------------------------------------------- 11. Nature of Indirect Beneficial Ownership (Instr. 4) ---------------------------------------------------------------------------- [TYPE ENTRIES HERE] ---------------------------------------------------------------------------- EXPLANATION OF RESPONSES: Option vests in three equal annual installments beginning on 12/31/02. /s/ David E. Wartner February 11, 2002 ---------------------------------------------- ---------------------- ** 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 provided is insufficient, see Instruction 6 for procedure Potential persons who are to respond to the collection of information contained in this form are nor required to respond unless the form displays a currently valid OMB number. =============================================================================