SEC Form 4 · accession 0001209191-17-001707

Dorman Products, Inc. · DORM

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Michael Kealey

Officer — SVP, Product

Period of report

Jan 3, 2017

Accepted (ET)

Jan 5, 2017 · 12:41 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	Jan 3, 2017	M	32,000	$6.895	A	34,880	D
Common Stock	Jan 3, 2017	F	3,001	$73.52	D	31,879	D
Common Stock^F1	holding	—	—		—	368	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)^F2	$6.895	Jan 3, 2017	M	32,000	D	—	Dec 14, 2017	Common Stock	32,000	0	D

Explanation of responses

F1The 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 239 units in the issuer's 401(k) Retirement Plan and Trust, which units consisted of 368 shares of common stock.
F2The option became exercisable in five equal annual installments beginning on December 14, 2008, which was the first anniversary of the date on which the option was granted.

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 equity securities covered by this Statement, or (b) that this Statement is legally required to be filed by such person.