-----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, T22QtQ4tzwR+Yamm/zEm6A9Pc6J34tJ+gm6VZeBjTzugnfo1K6Nu30hWDwwY1RYI pNInOzC9+SyxLZOVjSytpQ== 0000950124-03-000287.txt : 20030211 0000950124-03-000287.hdr.sgml : 20030211 20030211164204 ACCESSION NUMBER: 0000950124-03-000287 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TECUMSEH PRODUCTS CO CENTRAL INDEX KEY: 0000096831 STANDARD INDUSTRIAL CLASSIFICATION: AIR COND & WARM AIR HEATING EQUIP & COMM & INDL REFRIG EQUIP [3585] IRS NUMBER: 381093240 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00452 FILM NUMBER: 03550571 BUSINESS ADDRESS: STREET 1: 100 E PATTERSON ST CITY: TECUMSEH STATE: MI ZIP: 49286 BUSINESS PHONE: 5174238411 MAIL ADDRESS: STREET 1: 100 EAST PATTERSON STREET CITY: TECUMSEH STATE: MI ZIP: 49286 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: FORMAN MICHAEL R/MI CENTRAL INDEX KEY: 0001196163 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 100 EAST PATTERSON ST CITY: TECUMSEH STATE: MI ZIP: 49286 BUSINESS PHONE: 5174238681 MAIL ADDRESS: STREET 1: 100 EAST PATTERSON ST CITY: TECUMSEH STATE: MI ZIP: 49286 5 1 k74662e5.htm ANNUAL STATEMENT/CHANGES IN BENEFICIAL OWNERSHIP e5
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

FORM 5

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

o Check box if no longer
subject to Section 16.
Form 4 or Form 5
obligations may continue.
See Instruction 1(b).
o Form 3 Holdings Reported
x Form 4 Transactions Reported
1. Name and Address of Reporting
Person*		 2. Issuer Name and Ticker or Trading
Symbol		 3. I.R.S. Identification Number of Reporting
Person, if an entity (Voluntary)
  Forman, Michael R.
(Last) (First) (Middle)		   Tecumseh Products Company (TECUA and TECUB)
 
   
                 
  100 East Patterson St.
4. Statement for Month/Year 5. If Amendment, Date of Original (Month/Year)
    December 2002
 
  (Street) 6. Relationship of Reporting Person(s)
to Issuer (Check All Applicable)		 7. Individual or Joint/Group Reporting
(Check Applicable Line)
  Tecumseh, MI 49286
(City)        (State)        (Zip)		   o  Director o  10% Owner   x Form filed by One Reporting Person
    x  Officer (give title below)   o Form filed by More than One Reporting Person
    o  Other (specify below)  
      Vice President and Director of Corporate Human Resources
     
*   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
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)
                    Amount (A)
or
(D)		 Price            
                     
                     
                     
                     
                     
                     
                     
                     
                     
                     

Page 2

 
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)
                            (A) (D)
  Dividend Equivalent Units (1)     one for one     3/29/2002     A   0.52
  Dividend Equivalent Units (1)     one for one     6/28/2002     A   0.53
  Dividend Equivalent Units (1)     one for one     12/20/02     A4   0.63
  Dividend Equivalent Units (2)     one for one     3/29/2002     A   0.52
  Dividend Equivalent Units (2)     one for one     6/28/2002     A   0.53
  Dividend Equivalent Units (2)     one for one     12/20/02     A4   0.63
  Dividend Equivalent Units (3)     one for one     3/29/2002     A   8.35
  Dividend Equivalent Units (3)     one for one     6/28/2002     A   8.44
  Dividend Equivalent Units (3)     one for one     12/20/02     A4   10.11
  Dividend Equivalent Units (4)     one for one     3/29/2002     A   1.56
  Dividend Equivalent Units (4)     one for one     6/28/2002     A   1.58
  Dividend Equivalent Units (4)     one for one     12/20/02     A4   1.89
  Dividend Equivalent Units (5)     one for one     3/29/2002     A   1.56
  Dividend Equivalent Units (5)     one for one     6/28/2002     A   1.58
  Dividend Equivalent Units (5)     one for one     12/20/02     A4   1.89

Page 3

 
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 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)
  Date
Exercisable		 Expiration
Date		   Title Amount or
Number of
Shares		                        
  12/31/2005 12/31/2005   Class A Common Stock 0.52               D  
  12/31/2005 12/31/2005   Class A Common Stock 0.53               D  
  12/31/2005 12/31/2005   Class A Common Stock 0.63           4.64     D  
  12/31/2003 12/31/2003   Class A Common Stock 0.52               D  
  12/31/2003 12/31/2003   Class A Common Stock 0.53               D  
  12/31/2003 12/31/2003   Class A Common Stock 0.63           4.64     D  
  12/31/2004 12/31/2004   Class A Common Stock 8.35               D  
  12/31/2004 12/31/2004   Class A Common Stock 8.44               D  
  12/31/2004 12/31/2004   Class A Common Stock 10.11           116.77     D  
  12/31/2003 12/31/2003   Class A Common Stock 1.56               D  
  12/31/2003 12/31/2003   Class A Common Stock 1.58               D  
  12/31/2003 12/31/2003   Class A Common Stock 1.89           27.53     D  
  12/31/2002 12/31/2002   Class A Common Stock 1.56               D  
  12/31/2002 12/31/2002   Class A Common Stock 1.58               D  
  12/31/2002 12/31/2002   Class A Common Stock 1.89           33.15     D  

Explanation of Responses:

(1) Additional Phantom Stock Units deemed acquired with the equivalent of dividends on Phantom Stock Units acquired during 2001 and payable 12/31/2005.

(2) Additional Phantom Stock Units deemed acquired with the equivalent of dividends on Phantom Stock Units acquired during 2001 and payable 12/31/2003.

(3) Additional Phantom Stock Units deemed acquired with the equivalent of dividends on Phantom Stock Units acquired during 2000 and payable 12/31/2004.

(4) Additional Phantom Stock Units deemed acquired with the equivalent of dividends on Phantom Stock Units acquired during 1999 and payable 12/31/2003.

(5) Additional Phantom Stock Units deemed acquired with the equivalent of dividends on Phantom Stock Units acquired during 1998 and payable 12/31/2002.

Michael R. Forman   February 11, 2003
**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.

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