-----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, KfZ7L8nGx5M5NQos0ivudOSoBAJHjvnlWzOu/6x+Ks/upLzP/WwDY4dAm+G+Xkso KoPTfoo5L4Bot1dIu4a+9A== 0000897069-03-000426.txt : 20030403 0000897069-03-000426.hdr.sgml : 20030403 20030403171310 ACCESSION NUMBER: 0000897069-03-000426 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030401 FILED AS OF DATE: 20030403 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: TREXLER THOMAS W CENTRAL INDEX KEY: 0001187626 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 3741 S.W. 7TH STREET CITY: OCALA STATE: FL ZIP: 34478 BUSINESS PHONE: 3527325157 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NOBILITY HOMES INC CENTRAL INDEX KEY: 0000072205 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 591166102 STATE OF INCORPORATION: FL FISCAL YEAR END: 1027 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06506 FILM NUMBER: 03639126 BUSINESS ADDRESS: STREET 1: 3741 S W 7TH ST CITY: OCALA STATE: FL ZIP: 34478 BUSINESS PHONE: 9047325157 MAIL ADDRESS: STREET 1: P O BOX 1659 CITY: OCALA STATE: FL ZIP: 34478-1659 4 1 dkm325.txt FORM 4 FOR THOMAS TREXLER DATED 4/01/03 ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [_] Check box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ________________________________________________________________________________ 1. Name and Address of Reporting Person* Trexler Thomas W. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 3741 S. W. 7th Street - -------------------------------------------------------------------------------- (Street) Ocala FL 34474 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Nobility Homes, Inc. NOBH ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Day/Year April 1, 2003 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Day/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [_] Other (specify below) Executive Vice President ------------------------ ________________________________________________________________________________ 7. 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 ================================================================================
5. Amount of Securities 6. 4. Beneficially Owner- Securities Acquired (A) or Owned ship 2A. 3. Disposed of (D) Following Form: 7. 2. Deemed Transaction (Instr. 3, 4 and 5) Reported Direct Nature of Trans- Execution Code ------------------------------- Trans- (D) or Indirect 1. action Date, (Instr. 8) (A) action(s) Indirect Beneficial Title of Security Date if any ------------ or (Instr. (I) Ownership (Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V Amount (D) Price 3 & 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Nobility Homes, Inc. Common Stock 04/01/03 G V 2,656 D 303,369 D - ----------------------------------------------------------------------------------------------------------------------------------- By 401(k) 582(1) I Plan - ----------------------------------------------------------------------------------------------------------------------------------- Total 303,951 D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). (1) Prior to 4/01/03, the reporting person acquired 582 shares of NOBH common stock as a Company matching contribution under the NOBH 401(k) plan. The information in this report is based on the December 31, 2002 plan statement. Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) (Form 4-07/98) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Deriv- Form 2. ative Conver- 5. 7. Secur- Deriv- 11. sion Number of Title and Amount ities ative Nature or 3A. Derivative 6. of Underlying 8. Bene- Secur- of Exer- Deemed 4. Securities Date Securities Price ficially ity: In- cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned Direct direct Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- Following (D) or Bene- 1. of action Date, Code of(D) (Month/Day/Year) Amount ative Reported In- ficial Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr (Instr. (Instr. (Instr. (Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ Nobility Homes, Inc. - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option Options $8.03 9/14/97 9/13/06 to Buy 33,000 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option Options $8.03 9/14/98 9/13/06 to Buy 33,000 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option Options $8.03 9/14/99 9/13/06 to Buy 33,000 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option Options $8.03 9/14/00 9/13/06 to Buy 33,000 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option Options $8.03 9/14/01 9/13/06 to Buy 33,000 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ TOTAL 165,000 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: /s/ Thomas W. Trexler April 3, 2002 - --------------------------------------------- ----------------------- Thomas W. Trexler 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. Page 2 -----END PRIVACY-ENHANCED MESSAGE-----