-----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, Qrng513inNWr1Dxj58YHK6gzC68jB9poXExHN4RbuerpikhxHuhImbXTFu5JTw33 xWD05YpL2fxmJssloW0opw== 0001107049-03-000151.txt : 20030214 0001107049-03-000151.hdr.sgml : 20030214 20030214175648 ACCESSION NUMBER: 0001107049-03-000151 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030214 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MISH J VINCENT CENTRAL INDEX KEY: 0001167452 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 8503 HILLTOP DRIVE CITY: OOLTEWAH STATE: TN ZIP: 37363 MAIL 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 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14124 FILM NUMBER: 03568822 BUSINESS ADDRESS: STREET 1: 8503 HILLTOP DR STREET 2: STE 100 CITY: OOLTEWAH STATE: TN ZIP: 37363 BUSINESS PHONE: 4232384171 MAIL ADDRESS: STREET 1: 8503 HILLTOP DR STREET 2: STE 100 CITY: OOLTEWAH STATE: TN ZIP: 37363 5 1 mishform5.htm FORM 5 Form 5

 

Form 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

ANNUAL 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

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

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[   ] Form 3 Holdings Reported  
[   ] Form 4 Transactions Reported  

1.  Name and Address of Reporting Person*

 Mish, J. Vincent

2. Issuer Name and Ticker or Trading Symbol

Miller Industries, Inc. (MLR)

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

 Vice President, Chief Financial Officer and
President of Financial Services Group

(Last)     (First)     (Middle)

 

 8503 Hilltop Drive

3. I.R.S. Identification
    Number
    of Reporting Person,
    if an entity
    (voluntary)
4.  Statement for
     Month/Year

12-31-02

 (Street)

 

 Ooltewah, TN  37363

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

 

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)

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
    at the end of
    Issuer's
    Fiscal Year
    (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


 









 









 









 








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


 

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)
3A. Deemed
       Execution
       Date,
       if any
     (Month
      /Day
     Year)
4. Trans-
     action
    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 Year
    (Instr. 4)
10. Ownership
       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

$10.9375

10/26/99

 

A5

2,400

 

(1)

10/26/09

Common Stock

2,400

 

2,400

D

 

Stock
Options

$35.3125

06/26/98

 

A5

1,500

 

(2)

06/26/08

Common Stock

1,500

 

1,500

D

 































Explanation of Responses:

(1)  Options became exercisable in installments of 600 options each on 10/26/00 and 10/26/01.  The remaining
       1,200 options vest in two equal installments on 10/26/02 and 10/26/03.
(2)  Options became exercisable in installments of 375 options each on 6/26/99, 6/26/00, and 6/26/01.  The remaining
       375 options vest on 6/26/02.

 

   /s/ J. Vincent Mish


J. Vincent Mish

**Signature of Reporting Person

2-12-03


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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