SEC Form 4 · accession 0001209191-16-152653
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
Nov 30, 2016
Accepted (ET)
Dec 1, 2016 · 3:38 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 | Nov 30, 2016 | G | 20,000 | $0.00 | D | 1,098,066 | D | |
| Common Stock | holding | — | — | — | 82,401 | I | By Charitable Remainder Trust | |
| Common StockF2 | holding | — | — | — | 25,350 | I | By 401(k) |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction involved a gift of securities by the reporting person to the Steven and Ilene Berman Family Foundation dated December 22, 2001, of which the reporting person is a co-trustee. The reporting person disclaims beneficial ownership of the shares held by the Steven and Ilene Berman Family Foundation dated December 22, 2001.
- 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 September 30, 2016, the reporting person had 16,492 units in the Issuer's 401(k) Retirement Plan and Trust, which units consisted of 25,350 shares of Common Stock.
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.