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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 | ||||||||
Class B Common Stock | $ 0 (3) | 05/22/2004 | W | V | 1,037,330 | (3) | (3) | Class A Common Stock | 1,037,330 | $ 0 | 0 | I | By Voting Trust (4) | ||
Class B Common Stock | $ 0 (3) | 05/22/2004 | W | V | 106,036 | (3) | (3) | Class A Common Stock | 106,036 | $ 0 | 25,000 | I | By Trust (1) | ||
Option (right to buy) | $ 6.2815 | 02/01/2002 | 02/01/2011 | Class A Common Stock | 3,000 | 3,000 | I | By husband's estate (5) | |||||||
Option (right to buy) | $ 9.145 | 02/20/2003 | 02/20/2012 | Class A Common Stock | 4,695 | 4,695 | I | By husband's estate (5) | |||||||
Option (right to buy) | $ 10.36 | 02/20/2004 | 02/20/2013 | Class A Common Stock | 4,150 | 4,150 | I | By husband's estate (5) | |||||||
Option (right to buy) | $ 19.88 | 03/10/2005 | 03/10/2014 | Class A Common Stock | 1,950 | 1,950 | I | By husband's estate (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JOHNSON IMOGENE P 555 MAIN STREET RACINE, WI 53403 |
X |
/s/ Johnson, Imogene P. | 08/09/2004 | |
**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) | By Samuel C. Johnson 1988 Trust Number One (formerly, by husband). |
(2) | As settlor, trustee and beneficiary of the Imogene Powers Johnson 1993 Trust u/a dated December 13, 1993. |
(3) | Class B Common Stock is convertible at any time on a one-share-for-one-share basis into Class A Common Stock. |
(4) | The reported shares are held by the Johnson Outdoors Inc. Class B Common Stock Voting Trust. |
(5) | Mrs. Johnson disclaims beneficial ownership of these shares. |