-----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, LIYmEqDBCyHeD5mURQeRdtb0flzJxmF/oUfj/dlHKn5TaL4jTSHCZ2flii3ddFIH RlcgqoKPbWt6suz3SelQrQ== 0000908255-00-000016.txt : 20000215 0000908255-00-000016.hdr.sgml : 20000215 ACCESSION NUMBER: 0000908255-00-000016 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991231 FILED AS OF DATE: 20000214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BORG WARNER AUTOMOTIVE INC CENTRAL INDEX KEY: 0000908255 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 133404508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-12162 FILM NUMBER: 537246 BUSINESS ADDRESS: STREET 1: 200 S MICHIGAN AVE CITY: CHICAGO STATE: IL ZIP: 60604 BUSINESS PHONE: 3123228500 MAIL ADDRESS: STREET 1: 200 SOUTH MICHIGAN AVE STREET 2: 200 SOUTH MICHIGAN AVE CITY: CHICAGO STATE: IL ZIP: 60604 COMPANY DATA: COMPANY CONFORMED NAME: HORISZNY LAURENE H CENTRAL INDEX KEY: 0001044564 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 200 S MICHIGAN AVE CITY: CHICAGO STATE: IL ZIP: 60604 BUSINESS PHONE: 3123228500 MAIL ADDRESS: STREET 1: 200 SOUTH MICHIGAN AVE STREET 2: 200 SOUTH MICHIGAN AVE CITY: CHICAGO STATE: IL ZIP: 60604 5 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 - ------------------------------------------------------------------------------ FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP / / Check box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See instruction 1(b). Filed pursuant to Section 16(a) of the Securities Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person LAURENE H. HORISZNY 200 S. Michigan Ave. Chicago, IL 60604 2. Issuer Name and Ticker or Trading Symbol BorgWarner Inc. (BWA) 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) - 4. Statement For Month/Year December 31, 1999 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) ( ) Director (x)Officer (give title below) ( ) 10% Owner ( ) Other Vice President, General Counsel & Secretary 7. 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|2.Transaction Date |3. Transac- |4.Securities Acquired | (Month/Day/Year) | tion Code | (A) or Disposed of(D) | | Code | V | Amount |(A)or(D)|Price - ------------------------------------------------------------------------------- | | | | | | Common Stock | | | | | | - ------------------------------------------------------------------------------ 5. Amount of Securities |6. Ownership Form | 7.Nature of Indirect Beneficially Owned at| Direct (D) or | Beneficial Ownership End of Month | Indirect (I) | - ------------------------------------------------------------------------------- | | 6,458 | D | - ------------------------------------------------------------------------------- Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g. Puts, Calls, Warrants, Options, Convertible Securities) - ------------------------------------------------------------------------------- 1.Title of Deriv-|2.Conversion |3.Transaction |4.Trans- |5.Number of ative Security | or Exercise| Date(month | action | Derivative | Price of | \day\year) | Code | Securities Ac- | Derivative | | | quired(A)or | Security | | | Disposed of(D) | | |Code| V | (A) | (D) - ------------------------------------------------------------------------------- | | | | | | Phantom Stock Units| 1-for-1 | 1/1/99 | A | | 976 | Employee Stock Options | | | | | (Right to Buy) | | | | | | - ------------------------------------------------------------------------------- 6.Date Exercisable |7.Title and |8.Price of |9.Number of |10.Ownership and Expiration | Amount of | Derivative| Derivative |Form of Deriv- Date(month/day/year) | Underlying | Security | Securities |ative Security Date Exer-|Expiration| Securities | | Beneficially|Direct (D) or cisable | Date | Title|Amt.or| | Owned At End|Indirect (I) | | |#of shrs| | Of Month | - ------------------------------------------------------------------------------- | | || | | (1) | (1) |Common Stock|976| | 2,426.38 | D | | | | | 16,700 | D - ------------------------------------------------------------------------------- (1) The phantom stock units were accrued under the Borg-Warner Automotive, Inc. Executive Deferred Compensation Plan and are to be settled 100% in cash according to the terms of the plan. 11. Nature of Indirect Beneficial Ownership - ------------------------------------------------------------------------------- - -------------------------------------------------------------------------------
Signature of Reporting Person /s/ Laurene H. Horiszny Date: February 11, 2000
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