FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ESS TECHNOLOGY INC [ ESST ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/09/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock(1)(2) | 02/09/2005 | J | 1,000,000 | D | $0.00(1)(2)(3) | 0 | I | by Spouse | ||
Common Stock | 3,248,677 | I | The Annie M.H. Chan Living Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Prepaid Variable Forward Contract (right to sell) | $0.00 | 02/09/2005 | J(1)(2) | 1,000,000 | 02/09/2005 | 02/09/2005 | Common Stock | 1,000,000 | $0.00(3) | 0 | I | by Spouse |
Explanation of Responses: |
1. Annie M.H. Chan is the spouse of this reporting owner (A. Chan). 1,000,000 shares subject to A.Chan's 12/5/2001 forward purchase contract (the "VDF") were settled on 2/9/2005 in accordance with the terms of the VDF. A summary of the terms are set forth in Footnote 2. |
2. On 12/5/2001 A. Chan entered into the VDF with a securities brokerage firm relating to up to 1,000,000 shares (Contract Amount) of ESST common stock (CS). The VDF provided that on 2/9/2005 A.Chan would deliver a number of shares of CS (or at the option of A.Chan, the cash equivalent of such shares) based on the following: (a) if closing price of the CS on 2/4/2005 (Settlement Value)was less than or equal to $20.312 (Floor Price), then A.Chan would deliver the Contract Amount; (b) if Settlement Value was greater than the Floor Price but less than or equal to $28.437 (Threshold Price), then A.Chan would deliver a number of shares equal to Contract Amount x (Floor Price/Settlement Value); and (c) if Settlement Value was greater than Threshold Price, then A.Chan would deliver a number of shares equal to Contract Amount - Contract Amount x (Threshold Price?Floor Price)/Settlement Value. In consideration therefore, A.Chan received a purchase price of $16,656,000. |
3. $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system. |
Remarks: |
/s/ JAMES B. BOYD, Attorney-in-Fact for Shiu Leung (Fred) Chan | 02/11/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |