-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T6K77Qho/VDgvPXYJXiLkkYK9j6I57nZZoMb1CzqWPhbRVFhF4OjkqfPHsW+xU20 8ezDTW43X462RkPiibM+Sw== 0001045969-03-000144.txt : 20030204 0001045969-03-000144.hdr.sgml : 20030204 20030204172520 ACCESSION NUMBER: 0001045969-03-000144 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030204 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GRACO INC CENTRAL INDEX KEY: 0000042888 STANDARD INDUSTRIAL CLASSIFICATION: PUMPS & PUMPING EQUIPMENT [3561] IRS NUMBER: 410285640 STATE OF INCORPORATION: MN FISCAL YEAR END: 1225 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-14214 FILM NUMBER: 03539285 BUSINESS ADDRESS: STREET 1: 88 11TH AVENUE NE CITY: MINNEAPOLIS STATE: MN ZIP: 55413-1894 BUSINESS PHONE: 6126236000 MAIL ADDRESS: STREET 1: C/O CT CORPORATION SYSTEMS INC STREET 2: 405 SECOND AVENUE SOUTH CITY: MINNEAPOLIS STATE: MN ZIP: 55401 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KOCH DAVID A CENTRAL INDEX KEY: 0001066677 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O TRUST U/W CLARISSA GRAY STREET 2: 505 N HIGHWAY 169 SUITE 595 CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 6123402600 MAIL ADDRESS: STREET 1: C/O TRUST U/W CLARISSA GRAY STREET 2: 505 N HIGHWAY 169 SUITE 595 CITY: PLYMOUTH STATE: MN ZIP: 55441 SC 13G/A 1 dsc13ga.txt AMENDMENT NO. 5 TO SC13G (DAVID A. KOCH) SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No. 5)* GRACO INC. -------------------------------------- (Name of Issuer) Common Stock -------------------------------------- (Title of Class of Securities) 384109-10-4 ------------------------------------- (CUSIP Number) November 6, 2002 ------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [x] Rule 13d-1(c) [ ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (continued on following pages) SCHEDULE 13G ------------ CUSIP NO. 384109104 - -------------------- 1. NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (entities only) David A. Koch 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION USA 5. SOLE VOTING POWER: 685,231 NUMBER OF SHARES BENEFICIALLY 6. SHARED VOTING POWER: 2,114,473 OWNED BY EACH REPORTING 7. SOLE DISPOSITIVE POWER: 685,231 PERSON WITH 8. SHARED DISPOSITIVE POWER: 2,114,473 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,799,704 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.9% 12. TYPE OF REPORTING PERSON: IN The Statement of Ownership is filed by David A. Koch pursuant to Rules 13d-1(c) and 13d-2(b) under Section 13(d) of the Securities Exchange Act of 1934, as amended, with respect to his ownership of shares of common stock of Graco Inc. 2 ITEM 1(a). Name of Issuer: -------------- Graco Inc. ITEM 1(b). Address of Issuer's Principal Executive Offices: ----------------------------------------------- 88 - 11th Avenue NE Minneapolis, MN 55413 ITEM 2(a). Names of Person Filing: ---------------------- David A. Koch ITEM 2(b). Address of principal business office: ------------------------------------ 505 N. Highway 169, Suite 595 Plymouth, MN 55441 ITEM 2(c). Citizenship: ----------- USA ITEM 2(d). Title of Class of Securities: ---------------------------- Common ITEM 2(e). CUSIP Number: ------------ 384109 10 4 ITEM 3. If this statement is filed pursuant to Secs. 240.13d-1(b) or 240.13d(b) or (c) check whether the person filing it is a: Not applicable. 3 ITEM 4. Ownership: --------- (a) Amount beneficially owned: 2,799,704 (b) Percent of class: 5.9% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 685,231 (Includes options scheduled to vest within 60 days.) (ii) Shared power to vote or to direct the vote: 2,114,473 (Includes 1,654,444 shares held by the Trust U/W Clarissa L. Gray, of which Mr. Koch is a trustee; 91,853 shares owned by Mr. Koch's wife, as to which Mr. Koch may be deemed to share voting power; 19,977 shares owned by Graco Foundation, of which Mr. Koch is a director; 232,499 shares owned by the Graco Pension Plan, as to which Mr. Koch shares voting power; and 115,700 shares held by Greycoach Foundation, of which Mr. Koch is a director.) (iii) Sole power to dispose or to direct the disposition of: 685,231 (iv) Shared power to dispose or to direct the disposition of: 2,114,473 ITEM 5. Ownership of Five Percent or Less of a Class: -------------------------------------------- Not applicable. ITEM 6. Ownership of More than Five Percent on Behalf of Another Person: --------------------------------------------------------------- See response to Item 3(c)(ii) above. ITEM 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company: ------------------------------------------------------------ Not applicable. ITEM 8. Identification and Classification of Members of the Group: --------------------------------------------------------- Not applicable. 4 ITEM 9. Notice of Dissolution of Group: ------------------------------ Not applicable. ITEM 10. Certification: ------------- By signing below I certify that, to the best of my knowledge and belief the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having the purpose or effect. After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: January 31, 2003 By: /s/ David A. Koch --------------------------------- David A. Koch 5 -----END PRIVACY-ENHANCED MESSAGE-----