U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person*
DONOVAN TIMOTHY R.
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(Last) (First) (Middle)
C/O TENNECO AUTOMOTIVE, INC.
500 N. FIELD DRIVE
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(Street)
LAKE FOREST IL 60045
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(City) (State) (Zip)
John B. Sanfilippo & Son, Inc. (JBSS)
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2. Issuer Name and Ticker or Trading Symbol
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
JANUARY 15, 2003
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4. Statement for Month/Day/Year
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[ ] Officer (give title below) [_] Other (specify below)
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7. Individual or Joint/Group Filing (Check applicable line)
[X] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
3. Disposed of (D) Beneficially Form: 7.
2A. Transaction (Instr. 3, 4 and 5) Owned Follow- Direct Nature of
2. Deemed Code ------------------------------- ing Reported (D) or Indirect
1. Transaction Execution (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security Date Date, if any ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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BY SPOUSE
COMMON STOCK 1/15/03 J 42,428 (3) D 35,713 (1) I (3) AS TRUSTEE
FOR HER
SIBLINGS
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COMMON STOCK 44,913 I (3) BY SPOUSE
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COMMON STOCK 43,838 (2) I (3) BY SPOUSE
AS TRUSTEE
FOR THEIR
CHILDREN
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* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of Deriv- ship
ative Form
2. Secur- of
Conver- 5. 7. ities Deriv- 11.
sion Number of Title and Amount Bene- ative Nature
or 3A. Derivative 6. of Underlying 8. ficially Secur- of
Exer- Deemed 4. Securities Date Securities Price Owned ity: In-
cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- ing Re- (D) or Bene-
1. of action Date, Code of(D) (Month/Day/Year) Amount ative ported In- ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative (Month/ (Month 8) 4 and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- Day/ /Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Explanation of Responses:
CODE "J"
Shares held by Reporting Person's spouse,Elaine Karacic as trustee of three
trusts, the beneficiaries of which are her 2 siblings. Elaine Karacic is
dissolving one trust and transferring 42,428 shares into the name of the
trust beneficiary, Roseanne Karacic. A total of 35,713 shares will remain
in the two trusts, of which her sibling Greg Karacic is beneficiary.
(1) Shares held by Reporting Person's spouse, Elaine Karacic as trustee of
two trusts. Her sibling, Greg Karacic, is the beneficiary of both
trusts.
(2) Shares held by Reporting Person's spouse, Elaine Karacic, as trustee of
certain trusts, the beneficiaries of which are the children of Elaine
Karacic and Timothy Donovan; Maggie Donovan, Lukas Donovan,
Kara Donovan, Jack Donovan, and Anne Donovan.
(3) This filing shall not be deemed an admission that the Reporting Person
is, for purposes of Section 16 of the Securities Exchange Act of 1934
or otherwise, the beneficial owner of such shares, Mr. Donovan
disclaims beneficial ownership of any of these shares.
/s/ Linda Crowley January 16, 2003
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**Signature of Reporting Person Date
By: Linda Crowley, as attorney-in-fact for Timothy R. Donovan
per Power of Attorney dated February 1, 2001. Original on
file with the SEC.
** 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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