-----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, Ff36tUK1wWNYgUPHT4C+m4gS8nWH6moTPlr3DLHyFJNPM1bS57y+3fSpH9coiNWY WHxmVWx6uchdwoFSEhJgGQ== 0000950172-99-000111.txt : 19990210 0000950172-99-000111.hdr.sgml : 19990210 ACCESSION NUMBER: 0000950172-99-000111 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990131 FILED AS OF DATE: 19990209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AUTOLIV INC CENTRAL INDEX KEY: 0001034670 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 510378542 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-12933 FILM NUMBER: 99525779 BUSINESS ADDRESS: STREET 1: 3350 AIRPORT RD CITY: OGDEN STATE: UT ZIP: 84405 BUSINESS PHONE: 8016299800 MAIL ADDRESS: STREET 1: BOX 70381 STREET 2: SE 107 24 STOCKHOLM CITY: SWEDEN COMPANY DATA: COMPANY CONFORMED NAME: OLSSON JAN CENTRAL INDEX KEY: 0001057381 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OTHER STATE OF INCORPORATION: V7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: WORLD TRADE CENTER STREET 2: KLARABERGSVIADUKTEN 70 S 107 24 CITY: STOCKHOLM STATE: V7 ZIP: 00000 5 1 FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | ANNUAL STATEMENT OF |_____________________| CHANGES IN BENEFICIAL OWNERSHIP |OMB NUMBER: 3235-0362| |EXPIRES: | | SEPTEMBER 30, 1998 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE......1.0| Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 ___________________________________________________________________________ 1. Name and Address of Reporting Person Olsson Jan ________________________________________________________________________ (Last) (First) (Middle) Klarasbergsviaducten 70, Box 70381 ________________________________________________________________________ (Street) Stockholm Sweden SE 107 24 ________________________________________________________________________ (City) (State) (Zip) ___________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Autoliv, Inc. (ALV) ___________________________________________________________________________ 3. IRS or Social Security Number of Reporting Person, if an entity (Voluntary) ___________________________________________________________________________ 4. Statement of Month/Year 1/99 ___________________________________________________________________________ 5. If amendment, Date of Original (Month/Year) ___________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ___ Director ___ 10% Owner ___ Officer (give title below) X Other (specify below) --- Member of Executive Committee of Autoliv, Inc. Vice President, Engineering ___________________________________________________________________________ 7. Individual or Joint/Group Reporting (check applicable line) ___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) ___________________________________________________________________________ 3. Transaction Code (Instr. 8) ___________________________________________________________________________ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) ---------- --------------- ---------- Amount (A) or (D) Price ___________________________________________________________________________ 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) ___________________________________________________________________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) ___________________________________________________________________________ 7. Nature of Indirect Beneficial Ownership (Instr. 4) ___________________________________________________________________________ [TYPE ENTRIES HERE] =========================================================================== 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) Options ___________________________________________________________________________ 2. Conversion of Exercise Price of Derivative Security $35.99 ___________________________________________________________________________ 3. Transaction Date (Month/Day/Year) Dec. 7, 1998 ___________________________________________________________________________ 4. Transaction Code (Instr. 8) A ___________________________________________________________________________ 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 3,075 ---------------- --------------- (A) (D) ___________________________________________________________________________ 6. Date Exercisable and Expiration Date (Month/Day/Year) 12/7/99 12/7/08 ---------------- --------------- Date Exercisable Expiration Date ___________________________________________________________________________ 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Common Stock, par value $1 per share 3,075 ------------------------------------ -------------------------- Title Amount or Number of Shares ___________________________________________________________________________ 8. Price of Derivative Security (Instr. 4) $0* ___________________________________________________________________________ 9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) 3.075 ___________________________________________________________________________ 10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D ___________________________________________________________________________ 11. Nature of Indirect Beneficial Ownership (Instr. 4) ___________________________________________________________________________ [TYPE ENTRIES HERE] ___________________________________________________________________________ EXPLANATION OF RESPONSES: * Granted pursuant to Autoliv, Inc. 1997 Stock Incentive Plan /s/ Jan Olsson 2/5/99 ---------------------------------- --------------- ** SIGNATURE OF REPORTING PERSON DATE _____________________________ ** 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 provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are nor required to respond unless the form displays a currently valid OMB number. =========================================================================== -----END PRIVACY-ENHANCED MESSAGE-----