SEC Form 4 · accession 0001209191-16-099466
Dorman Products, Inc. · DORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven L Berman
Officer — Executive Chairman · Director · 10% Owner
Period of report
Feb 12, 2016
Accepted (ET)
Feb 17, 2016 · 6:09 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000868780
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 31, 2015 | G | 6,202 | $0.00 | D | 82,401 | I | By Charitable Remainder Trust |
| Common Stock | Dec 31, 2015 | G | 6,202 | $0.00 | A | 1,118,066 | D | |
| Common StockF2,F3 | holding | — | — | — | 25,422 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F4 | $41.59 | Feb 12, 2016 | A | 9,761 | A | — | Feb 12, 2021 | Common Stock | 9,761 | 9,761 | D |
Explanation of responses
- F1On December 31, 2015, a charitable remainder trust of which the reporting person is a trustee and of which the reporting person and his wife are beneficiaries distributed to the reporting person 6,202 shares of Common Stock in satisfaction of an annual distribution obligation. The reporting person disclaims beneficial ownership of Common Stock held by the charitable remainder trust except to the extent of his and his wife's pecuniary interest therein.
- F2The shares are represented by units held in a unitized stock fund through the Issuer's 401(k) Retirement Plan and Trust. The unitized stock fund of the Issuer's 401(k) Retirement Plan and Trust consists of cash and Common Stock in amounts that vary from time to time. As of December 24, 2015, the reporting person had 16,492 units in the Issuer's 401(k) Retirement Plan and Trust, which units consisted of 25,422 shares of Common Stock.
- F3The reporting person previously reported holding a reportable beneficial interest in 1,781,432 shares of Common Stock held by his children in trust. The reporting person no longer has a reportable beneficial interest in such shares of Common Stock held by his children in trust.
- F4The option vests in four equal annual installments beginning on February 12, 2017, which is the first anniversary of the date of grant.
Remarks
The filing of this Statement shall not be construed as an admission (a) that the person filing this Statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any securities covered by this Statement, or (b) that this Statement is legally required to be filed by such person.