-----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, AXFGOjVMJTMvOg1360Fdb3guhud2vUDx+iXfq1q53A/0bI6boptpS+7ZfrNAR1G3 mTqAPljdZi+MwRKRysfasg== 0001179110-04-020047.txt : 20041025 0001179110-04-020047.hdr.sgml : 20041025 20041025170205 ACCESSION NUMBER: 0001179110-04-020047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041022 FILED AS OF DATE: 20041025 DATE AS OF CHANGE: 20041025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON JACK CENTRAL INDEX KEY: 0001191172 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10605 FILM NUMBER: 041094565 MAIL ADDRESS: STREET 1: 1515 S MANCHESTER AVE CITY: ANAHEIM STATE: CA ZIP: 92802 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ITERIS HOLDINGS INC CENTRAL INDEX KEY: 0000350868 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 952588496 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 1515 S MANCHESTER AVE CITY: ANAHEIM STATE: CA ZIP: 92802 BUSINESS PHONE: 7147745000 FORMER COMPANY: FORMER CONFORMED NAME: ODETICS INC DATE OF NAME CHANGE: 19920703 4 1 edgar.xml FORM 4 - X0202 4 2004-10-22 0 0000350868 ITERIS HOLDINGS INC ITRSA.OB 0001191172 JOHNSON JACK 1515 S. MANCHESTER AVE ANAHEIM CA 92802 1 1 0 0 Chief Executive Officer Common Stock 2004-10-22 4 J 0 286666 A 286666 D Option right to buy .54 2004-10-22 4 J 0 449980 .54 A 1998-09-30 2007-09-30 Common Stock 449980 449980 D Option right to buy 1.19 2004-10-22 4 J 0 80000 1.19 A 2001-09-27 2011-09-27 Common Stock 80000 80000 D Option right to buy 1.40 2004-10-22 4 J 0 56000 1.40 A 2002-05-01 2012-05-01 Common Stock 56000 56000 D Issued in exchange of Iteris, Inc. Common Stock through merger of Iteris, Inc. and Iteris Holdings, Inc. Option share exchanged through merger between Iteris Holdings, Inc. and Iteris, Inc. Options shall become exercisable in four successive equal annual installments upon completion of each year of service over the four year period measured from the Vesting Commencement date. /s/Jack Johnson 2004-10-22 -----END PRIVACY-ENHANCED MESSAGE-----