-----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, BU5tpNSIUiQ7Yhcmdzcbi8hB82B026vakHhJckiS05WhCS9fFPFUnOr9C5uM21eS /vOBgDTG+SKn5tMKz+lVUA== 0001084247-99-000002.txt : 19991117 0001084247-99-000002.hdr.sgml : 19991117 ACCESSION NUMBER: 0001084247-99-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990930 FILED AS OF DATE: 19991115 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WILLIAMS CONTROLS INC CENTRAL INDEX KEY: 0000854860 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 841099587 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-18083 FILM NUMBER: 99752177 BUSINESS ADDRESS: STREET 1: 14100 SW 72ND AVENUE CITY: PORTLAND STATE: OR ZIP: 97224 BUSINESS PHONE: 5036848600 MAIL ADDRESS: STREET 1: 14100 SW 72ND AVENUE CITY: PORTLAND STATE: OR ZIP: 97224 COMPANY DATA: COMPANY CONFORMED NAME: MCCLURE CHARLES G CENTRAL INDEX KEY: 0001084247 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 55 CABOT PLACE CITY: BLOOMFIELD HILLS STATE: MI ZIP: 48304 MAIL ADDRESS: STREET 1: 55 CABOT PL CITY: BLOOMFIELD HILLS STATE: MI ZIP: 48304 5 1 CHARLES G. MCCLURE FORM 5 RE: WMCO STOCK
FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington, D.C. 20549 OMB Number 3235-0362 ____Check this box if no longer Expires: February 1, 1994 subject to Section 16. Form 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden or Form 5 obligations may hours per response.. 1.0 continue. See instructions 1(b) ____Form 3 Holdings Reported ____Form 4 Transactions Reported 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 - ----------------------------------------------------------------------------------------------------------------------------------- 1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issue (Check all applicable) McClure Charles G. Williams Controls, Inc. "WMCO" - ----------------------------------------------------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ___X___ Director _______ 10% Owner Number of Reporting Month/Year 9/99 _______ Officer(give _______ Other 55 Cabot Place Person (Voluntary) title (specify - --------------------------------- 5. If Amendment, below) below) (Street) Date of Original (Month/Year) --------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- Bloomfield Hills Mi 48304 - --------------------------------------- ----------------------------------------------------------------------------------- (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4, and 5) Beneficially Form: direct (Instr. 8) Owned at Direct Bene- (Month/ End of (D) or ficial Day/ (A) or Month Indirect Owner- Year) Amount (D) Price (Instr. 3 and 4) (I) ship (Instr. 4) (Instr. 4) - ----------------------------------------------------------------------------------------------------------------------------------- COMMON STOCK -0- D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 2270 (3/91)
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 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer- 7. Title & Amount of sion or action tion Code ative Securities Ac- cisable and Ex- Underlying (Instr. 3) Exercise Date quired (A) or Dis- piration Date Securities of In- Price of (Month/ (Instr. 8) posed of (D) (Month/Day/ (Instr. 3 and 4) Deriv- Day/ Year ative Year) (Instr. 3, 4, and 5) Security Date Expira- Amount or Exer- tion Title Number of Code V (A) (D) cisable Date Shares - ----------------------------------------------------------------------------------------------------------------------------------- (1) Issuer Stock Option $2.6875/sh 02/26/99 02/26/09 Common 10,000 - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------------------------------
FORM 5 (continued) TABLE II - Derivative Securities Acquired, Disposed of, Or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 8. Price 9. Number 10. Owner- 11. Na- of of Deriv- ship ture Deriv- ative Form of In- ative Secur- of De- direct Secur- ities rivative Bene- ity Bene- Secu- ficial ficially rity: Own- (Instr. Owned Direct ership 5) at End (D) or of Indi- (Instr. 4) Month rect (I) (Instr. 4) (Instr. 4) - ----------------------------------------------------------------------------------------------------------------------------------- Issuer Stock Option $2.6875/sh 10,000 D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: 1. Exercisable as to 25% of the shares covered thereby on this date and cumulatively as to an additional 25% of the shares covered thereby on 02/26/00, 02/26/01 & 02/26/02. **Intentional misstatements or omissions of facts constitute Federal Criminial Violations. /s/Charles G. McClure November 15, 1999 --------------------------------- ----------------- See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ** Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. Page 2 If space provided is insufficient, see Instruction 6 for procedure. SEC 2270 (3/91)
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