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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 | ||||||||
Exercise of Option (1) | $ 18.86 | 11/03/2004 | M | 5,001 | 03/01/2002(4) | 03/01/2011 | Common Stock, $.01 par value | 5,001 | $ 0 (5) | 0 | D | ||||
Exercise of Options (1) | $ 19.9 | 11/03/2004 | M | 5,001 | 02/07/2003(6) | 02/07/2012 | Common Stock, $.01 par value | 5,001 | $ 0 (5) | 5,001 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HAGENLOCKER EDWARD E C/O AMERICAN STANDARD COMPANIES INC. ONE CENTENNIAL AVENUE PISCATAWAY, NJ 08855 |
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/s/ Edward E. Hagenlocker (By M. Cresitello by Power of Attorney) | 11/04/2004 | |
**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) | Shares reflect a three-for-one stock split effective May 27, 2004, exempt pursuant to Rule 16a-9. |
(2) | Represents shares held under the Company's Deferred Compensation Plan. |
(3) | Represents shares of stock awarded to Directors' Compensation Plan as to which Director exercises voting rights, but not right to dispose until directorship terminates. |
(4) | Original grant of 15,000 options became exercisable in three equal installments beginning March 1, 2002. |
(5) | Issued in connection with director services. |
(6) | Original grant of 15,000 options becam exercisable in three equal installments beginning February 7, 2003. |