SEC Form 4 · accession 0001209191-17-015737
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 27, 2017
Accepted (ET)
Mar 1, 2017 · 2:58 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 | Feb 27, 2017 | A | 2,147 | $0.00 | A | 1,073,168 | D | |
| Common StockF1 | Feb 27, 2017 | F | 716 | $78.64 | D | 1,072,452 | D | |
| Common Stock | holding | — | — | — | 76,446 | I | By Charitable Remainder Trust | |
| Common StockF2 | holding | — | — | — | 25,318 | 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)F3 | $78.64 | Feb 27, 2017 | A | 4,909 | A | — | Feb 27, 2022 | Common Stock | 4,909 | 4,909 | D |
Explanation of responses
- F1These shares were withheld by the issuer to satisfy Mr. Berman's tax withholding obligations. Such withholding is treated as a disposition of securities under Section 16 of the Securities Exchange Act of 1934, as amended.
- 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 31, 2016, the reporting person had 16,492 units in the Issuer's 401(k) Retirement Plan and Trust, which units consisted of 25,318 shares of Common Stock.
- F3The option vests in four equal annual installments beginning on February 27, 2018, 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.