SEC Form 4
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*
WHITE JOHN C

(Last) (First) (Middle)
20410 NORTH 19TH AVENUE

(Street)
PHOENIX AZ 85027

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
UNIVERSAL TECHNICAL INSTITUTE INC [ UTI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Strategic Planning Ofc
3. Date of Earliest Transaction (Month/Day/Year)
12/22/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 par value 0.0001 12/22/2003 12/19/2003 C V 179,170 A $20.5 2,511,399 I Whites Family Co LLC
common stock par value 0.0001 12/22/2003 12/19/2003 C V 35,707 A $20.5 2,547,106 I Whites Family Co LLC
common stock par value 0.0001 107,314 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Series A Preferred $20.5 12/22/2003 12/19/2003 C V 3,673 (1) 12/22/2003 common 179,170 (1) 0 I Whites Family Co LLC
Series C Preferred $20.5 12/22/2003 12/19/2003 C V 732 (2) 12/22/2003 common 35,707 (2) 0 I Whites Family Co LLC
Explanation of Responses:
1. The reporting person owns 3673 shares of Series A Preferred Stock with a liquidation value of $1000.00 per share. Each share of Series A Preferred Stock may be exchanged for shares of common stock upon the completion of a common stock offering to the public. The number of shares of common stock to be issued in exchange for each share of Series A Preferred Stock is equal to the liquidation value of the Series A Preferred Stock divided by the initial public offering price per share of the Company's common stock.
2. The reporting person owns 732 shares of Series C Preferred Stock with a liquidation value of $1000.00 per share. Each share of the Series C Preferred Stock may be exchanged for shares of common stock upon completion of a common stock offering to the public. The number of shares of common stock to be issued in exchaged for each share of Series C Preferred Stock is equal to the liquidation value of the Series C Preferred Stock divided by the initial public offering price per share of the Company's common stock.
Jennifer Haslip attorney in fact for John C. White 12/19/2003
** 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.
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