-----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, S5oUrEdTi5W3JVFDosmeV8ca4Bvt7nw5rMXoO4vCAR4luRKZfLDiKC8nfbX2jwP6 z1ISY3E/7QfipBX6H8VGLw== 0001107049-02-000284.txt : 20020414 0001107049-02-000284.hdr.sgml : 20020414 ACCESSION NUMBER: 0001107049-02-000284 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011231 FILED AS OF DATE: 20020225 COMPANY DATA: COMPANY CONFORMED NAME: CHANDLER A RUSSELL III CENTRAL INDEX KEY: 0001123546 DIRECTOR FILING VALUES: FORM TYPE: 5/A BUSINESS ADDRESS: STREET 1: 8503 HILLTOP DRIVE CITY: OOLTEWAH STATE: TN ZIP: 37363 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MILLER INDUSTRIES INC /TN/ CENTRAL INDEX KEY: 0000924822 STANDARD INDUSTRIAL CLASSIFICATION: TRUCK & BUS BODIES [3713] IRS NUMBER: 621566286 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14124 FILM NUMBER: 02557032 BUSINESS ADDRESS: STREET 1: 8503 HILLTOP DR STREET 2: STE 100 CITY: OOLTEWAH STATE: TN ZIP: 37363 BUSINESS PHONE: 4232384171 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1250 CITY: ATLANTA STATE: GA ZIP: 30339 5/A 1 chandlerfrm5a.htm A. RUSSELL CHANDLER FORM 5 AMENDMENT Prepared by Kilpatrick Stockton LLP

Form 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

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(f) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number: 3235-0287

Expires: December 31, 2001

[   ]

Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b).

Estimated average burden
hours per response. . . 0.5

[   ]

Form 3 Holdings Reported

  

[   ]

Form 4 Holdings Reported

  

 

1. Name and Address of Reporting Person*

 Chandler, III   A. Russell

2. Issuer Name and Ticker or Trading Symbol

Miller Industries, Inc.  (MLR)

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_X_ Director                    ___ 10% Owner
___ Officer (give             ___ Other (specify
                  title below)                      below)

                   

(Last)              (First)             (Middle)

 8503 Hilltop Drive

3. I.R.S. Identification Number of Reporting Person, if an entity voluntary)

4. Statement for Month/Year

2001

(Street)

 Ooltewah, TN  37363

5. If Amendment, Date of Original (Month/Year)

2/2002

7. Individual or Joint/Group Filing
(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)                   (State)                   (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)

2. Transaction Date
(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 at End of Issuer's Fiscal Year
(Instr. 3 and 4)

6. Owner-
ship Form:
Direct (D) or Indirect (I)
(Instr. 4)

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

Amount

(A) or (D)

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 Instructions 4(b)(v).

 

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

(Over)
SEC 1474 (3-99)


 

FORM 5 (continued)

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)

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
Underlying Securities
(Instr. 3 and 4)

8. Price of
Derivative
Security
(Instr. 5)

9.Number of
Derivative
Securities
Beneficially
Owned at
End of
Month
(Instr. 4)

10. Ownership
Form of
Derivative
Security:
Direct (D) or Indirect (I)
(Instr. 4)

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

(A)

(D)

Date
Exercisable

Expiration
Date

Title

Amount
or
Number
of Shares

Stock Options

$4.61

9/25/01

A

12,200

 

(1)

6/24/11

Common Stock

12,200

 

8,000

D

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

   

  

 

 

 

Explanation of Responses:

(1)  Options vest in two equal installments of 6,100 options on 3/25/2002 and 3/25/2003.


 

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

A. Russell Chandler, III

By:  /s/ Frank Madonia                      
      Frank Madonia, Attorney-in-fact

**Signature of Reporting Person

    2-14-02
Date

Note:

File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.

Page 2


 

MILLER INDUSTRIES, INC.

 Confirming Statement

             This statement confirms that the undersigned authorized and designated Frank Madonia to execute and file on the undersigned’s behalf the Form 5 on February 14, 2002 that the undersigned was required to file with the U.S. Securities and Exchange Commission as a result of the undersigned’s transactions in securities of Miller Industries, Inc.  The undersigned acknowledges that Frank Madonia did not assume any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

Name

Title

Date

 

_/s/ A. Russell Chandler III  
A. Russell Chandler, III

Director

2/19/02

 

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