SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
ALTDORF ROLF J

(Last) (First) (Middle)
POLYMER GROUP INC.
4055 FABER PLACE DRIVE, SUITE 201

(Street)
NORTH CHARLESTON SC 29405

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/09/2003
3. Issuer Name and Ticker or Trading Symbol
POLYMER GROUP INC [ POLGA.OB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President & Managing Dir.
5. If Amendment, Date of Original Filed (Month/Day/Year)
07/22/2003
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class B Common Stock(1) 50 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Warrants to purchase Class D Common Stock(1) (2) 03/04/2010 Class D Common Stock 62 $0.01 D
Series B Warrants to purchase Class E Common Stock(1) (2) 03/04/2010 Class E Common Stock 65 $0.01 D
Explanation of Responses:
1. The additional securities disclosed in this amendment were inadvertently omitted from Mr. Altdorf's original Form 3 filed on July 22, 2003 and also were omitted from the two Form 4s filed by Mr. Altdorf after his original Form 3 was filed.
2. The Series A Warrants and Series B Warrants are exerciseable in certain limited circumstances and are not exerciseable within 60 days of the date hereof.
/s/ Rolf J. Altdorf 06/21/2005
** 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 5 (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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