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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who 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. | SEC 1474 (9-02) |
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) |
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 Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option Right to Buy (7) | $ 10.375 | 02/18/2005 | M | 15,300 | (1) | 10/18/2009 | Common Stock | 15,300 | (1) | 0 | D | ||||
Stock Option Right to Buy (7) | $ 7.5 | 02/18/2005 | M | 6,000 | 08/02/2004 | 08/02/2010 | Common Stock | 6,000 | (3) | 6,000 | D | ||||
Stock Option Right to Buy (7) | $ 16.32 | 02/18/2005 | M | 10,700 | (4) | 10/29/2011 | Common Stock | 10,700 | (4) | 14,300 | D | ||||
Stock Option Right to Buy (7) | $ 16.32 | 02/18/2005 | M | 4,300 | 10/29/2004 | 10/29/2011 | Common Stock | 4,300 | (5) | 10,000 | D | ||||
Stock Option Right to Buy (7) | $ 13.9 | 02/18/2005 | M | 10,000 | (6) | 10/23/2012 | Common Stock | 10,000 | (6) | 15,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CARLSEN ALAN R CIRCOR INTERNATIONAL, INC. 25 CORPORATE DRIVE BURLINGTON, MA 01803 |
Group Vice President |
Stephen J. Carriere, Attorney-in-Fact | 03/03/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The stock options exercised herein are a portion of the grant of 39,500 options by the issuer to the reporting person on October 18, 1999. The 15,300 options exercised are a portion of the 15,800 options that became exercisable on October 18, 2003 and 2004. These options convert into shares of the issuer's common stock on a one-for-one basis. |
(2) | The transactions reported herein reflect the cashless exercise by the reporting person of stock options previously granted to the reporting person by the issuer. |
(3) | The stock options exercised herein are a portion of the grant of 30,000 options by the issuer to the reporting person on August 2, 2000. the 6,000 options became exercisable on August 2, 2004. These options convert into shares of the issuer's common stock on a one-for-one basis. |
(4) | The stock options exercised herein are a portion of the grant of 25,000 options by the issuer to the reporting person on October 29, 2001. The 10,700 options exercised are a portion of the 15,000 options that became exercisable on October 29, 2002, 2003, and 2004. The options convert into shares of the issuer's common stock on a one-for-one basis. |
(5) | The stock options exercised herein are a portion of the grant of 25,000 options by the issuer to the reporting person on October 29, 2001. The 4,300 options exercised are a portion of the 5,000 options that became exercisable on October 29, 2004. These options convert into shares of the issuer's common stock on a one-for-one basis. |
(6) | The stock options exercised herein are a portion of the grant of 25,000 options by the issuer to the reporting person on October 23, 2002. The 10,000 options became exercisable on October 23, 2003 and 2004. These options convert into shares of the issuer's common stock on a one-for-one basis. |
(7) | This amendment is filed to reflect the exercise in Table II, column 5, as "disposed" instead of as inadvertently noted as "acquired" in the original filing. |