0000763744-16-000312.txt : 20160111 0000763744-16-000312.hdr.sgml : 20160111 20160111073244 ACCESSION NUMBER: 0000763744-16-000312 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160106 FILED AS OF DATE: 20160111 DATE AS OF CHANGE: 20160111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DREW INDUSTRIES Inc CENTRAL INDEX KEY: 0000763744 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 133250533 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3501 COUNTY ROAD 6 EAST CITY: ELKHART STATE: IN ZIP: 46514 BUSINESS PHONE: 5745351125 MAIL ADDRESS: STREET 1: 3501 COUNTY ROAD 6 EAST CITY: ELKHART STATE: IN ZIP: 46514 FORMER COMPANY: FORMER CONFORMED NAME: DREW INDUSTRIES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DRIVER TODD W CENTRAL INDEX KEY: 0001644319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13646 FILM NUMBER: 161335059 MAIL ADDRESS: STREET 1: C/O DREW INDUSTRIES INC STREET 2: 3501 COUNTY ROAD 6 EAST CITY: ELKHART STATE: IN ZIP: 46514 4 1 wf-form4_145251555340620.xml FORM 4 X0306 4 2016-01-06 1 0000763744 DREW INDUSTRIES Inc DW 0001644319 DRIVER TODD W C/O DREW INDUSTRIES INCORPORATED 3501 COUNTY ROAD 6 EAST ELKHART IN 46514 0 0 0 1 Former COO Common Stock 2016-01-06 4 M 0 20917 0 A 27277 D Common Stock 2016-01-06 4 F 0 7391 56.36 D 19886 D Deferred Stock Units 0.0 2016-01-06 4 M 0 20916.31 0 D 2016-01-06 2016-01-06 Common Stock 20917.0 9293.06 D Each Deferred Stock Unit represents a contingent right to receive one share of DW Common Stock. DSUs vested and converted to common stock pursuant to terms of Separation Agreement. /s/ TODD W DRIVER 2016-01-11