FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
PACCAR INC [ PCAR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/23/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
COMMON STOCK | 02/23/2004 | M | 38,000 | A | $9.67 | 1,080,452(1) | D | |||
COMMON STOCK (SIP)(2) | 23,048.6(3) | D | ||||||||
COMMON STOCK | 16,794 | I(4) | WIFE & CHILDREN | |||||||
COMMON STOCK | 581,730 | I(5) | EASCLIFFE COMPANY |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
STOCK OPTION(6) | $9.67(7) | 02/23/2004 | M | 38,000 | 01/01/1998 | 04/25/2005 | COMMON STOCK | 38,000 | (6) | 51,392(7) | D | ||||
STOCK OPTION(6) | $11(8) | 01/01/1999 | 04/30/2006 | COMMON STOCK | 95,719(8) | 95,719(8) | D | ||||||||
STOCK OPTION(6) | $16.28(9) | 01/01/2000 | 04/29/2007 | COMMON STOCK | 118,912(9) | 118,912(9) | D | ||||||||
STOCK OPTION(6) | $23.78(10) | 01/01/2001 | 04/28/2008 | COMMON STOCK | 89,155(10) | 89,155(10) | D | ||||||||
STOCK OPTION(6) | $23.9(11) | 01/01/2002 | 04/27/2009 | COMMON STOCK | 138,165(11) | 138,165(11) | D | ||||||||
STOCK OPTION(6) | $18.56(12) | 01/01/2003 | 01/25/2010 | COMMON STOCK | 156,133(12) | 156,133(12) | D | ||||||||
STOCK OPTION(6) | $22.94(11) | 01/01/2004 | 01/24/2011 | COMMON STOCK | 152,151(11) | 152,151(11) | D | ||||||||
STOCK OPTION(6) | $28.2(13) | 01/01/2005 | 01/23/2012 | COMMON STOCK | 126,544(13) | 126,544(13) | D | ||||||||
STOCK OPTION(6) | $31.4(11) | 01/10/2006 | 01/15/2013 | COMMON STOCK | 110,412(11) | 110,412(11) | D | ||||||||
STOCK OPTION(6) | $56.95(11) | 01/10/2007 | 01/15/2014 | COMMON STOCK | 60,030(11) | 60,030(11) | D | ||||||||
COMMON STOCK (LTIP)(14) | (14) | (14) | (14) | COMMON STOCK | 12,701.3(15) | 12,701.3(15) | D | ||||||||
COMMON STOCK (DICP)(16) | (16) | (16) | (16) | COMMON STOCK | 31,654.7(15) | 31,654.7(15) | D |
Explanation of Responses: |
1. On December 9, 2003 PACCAR declared a stock dividend payable February 5, 2004 to all holders of record of common stock on January 19, 2004 of one additional share of common stock for every two shares of common stock. As a result of the stock dividend the reporting person received 347,484 additional shares of PACCAR common stock on February 5, 2004. |
2. Shares held in PACCAR Savings Investment Plan (SIP). |
3. As a result of the stock dividend the reporting person received 7,682.9 additional shares of PACCAR common stock on February 5, 2004. |
4. Shares in which beneficial ownership is disclaimed - adjusted for 50% stock dividend. |
5. Shares held by a corporation in which Reporting Person is a shareholder. Holding is reported voluntarily as Reporting Person is not a controlling shareholder and has no voting or investment power with respect to the Issuer's securities. Holding adjusted for sale of 14,862 escrowed shares by escrow trustee to settle litigation claims against escrow account and for 50% stock dividend. |
6. Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). |
7. This option was previously reported as an option for 59,595 shares of common stock at an exercise price of $14.50. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $23.39 for a fractional share, valued as of January 19, 2004. |
8. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $22.73 for a fractional share, valued as of January 19, 2004. |
9. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $20.09 for a fractional share, valued as of January 19, 2004. |
10. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $16.34 for a fractional share, valued as of January 19, 2004. |
11. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. |
12. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $18.95 for a fractional share, valued as of January 19, 2004. |
13. Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $14.12 for a fractional share, valued as of January 19, 2004. |
14. Share units held in deferred phantom stock account under LTIP convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
15. Number of derivative securities and underlying securities adjusted to reflect 50% stock dividend. |
16. Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
Remarks: |
Fractional shares rounded to nearest 1/10. |
Mark Pigott | 02/24/2004 | |
** 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 4 (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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |