-----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, H5wF7fk4hGGYbAXBp7Td/J6ADGJH0/LjGg+3lE/yM9k7KUoL7gIKUwoOp8+Sdi8T qE3h+ABSKL0ZdjAN8RPTTQ== 0001171520-03-000314.txt : 20031023 0001171520-03-000314.hdr.sgml : 20031023 20031023120452 ACCESSION NUMBER: 0001171520-03-000314 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031021 FILED AS OF DATE: 20031023 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WATTS WATER TECHNOLOGIES INC CENTRAL INDEX KEY: 0000795403 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FABRICATED METAL PRODUCTS [3490] IRS NUMBER: 042916536 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 BUSINESS PHONE: 9786881811 MAIL ADDRESS: STREET 1: 815 CHESTNUT STREET CITY: NORTH ANDOVER STATE: MA ZIP: 01845 FORMER COMPANY: FORMER CONFORMED NAME: WATTS INDUSTRIES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HORNE TIMOTHY P CENTRAL INDEX KEY: 0001235976 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11499 FILM NUMBER: 03953459 BUSINESS ADDRESS: STREET 1: WATTS INDUSTRIES INC STREET 2: ROUTE 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 BUSINESS PHONE: 9786881811 MAIL ADDRESS: STREET 1: WATTS INDUSTRIES INC STREET 2: ROUTE 815 CHESTNUT ST CITY: NORTH ANDOVER STATE: MA ZIP: 01845 4 1 eps1286_ex.xml TIMOTHY P. HORNE X0201 4 2003-10-21 0 0000795403 WATTS WATER TECHNOLOGIES INC WTS 0001235976 HORNE TIMOTHY P WATTS WATER TECHNOLOGIES, INC. 815 CHESTNUT ST NORTH ANDOVER MA 01845 1 0 1 0 Class A Common Stock 2003-10-21 4 C 0 200000 A 336642 D Class B Common Stock 2003-10-21 4 C 0 200000 D Class A Common Stock 200000 1701220 D Class B Common Stock Class A Common Stock 5534920 I [See footnotes] The shares of Class A Common Stock were issued pursuant to the conversion on a 1-for-1 basis of shares of Class B Common Stock held by the Reporting Person. The Reporting Person also beneficially owns the shares of Class B Common Stock reflected in Column 9 of Table II of this Form 4, which are convertible into shares of Class A Common Stock on a 1-for-1 basis. All shares of Class B Common Stock were convertible into Class A Common Stock upon issuance and do not have an expiration date. The shares are subject to The Amended and Restated George B. Horne Voting Trust Agreement - 1997 (the "1997 Voting Trust"), of which the Reporting Person serves as sole trustee. The Reporting Person indirectly beneficially owns 1,974,600 shares of Class B Common Stock held for the benefit of George B. Horne under a revocable trust, for which the Reporting Person serves as co-trustee, of which 1,724,600 shares are subject to the 1997 Voting Trust The Reporting Person indirectly beneficially owns 1,210,840 shares of Class B Common Stock held for the benefit of Daniel W. Horne under a revocable trust, for which the Reporting Person serves as sole trustee, of which 1,185,840 shares are subject to the 1997 Voting Trust The Reporting Person indirectly beneficially owns 1,210,840 shares of Class B Common Stock held for the benefit of Deborah Horne under a revocable trust, for which the Reporting Person serves as sole trustee, of which 1,185,840 shares are subject to the 1997 Voting Trust The Reporting Person indirectly beneficially owns 1,085,840 shares of Class B Common Stock held for the benefit of Peter W. Horne under a revocable trust, which are subject to the 1997 Voting Trust The Reporting Person indirectly beneficially owns 30,200 and 22,600 shares of Class B Common Stock held for the benefit of Tara V. Horne and Tiffany R. Horne, respectively, under irrevocable trusts for which the Reporting Person serves as trustee, all of which shares are subject to the 1997 Voting Trust. /s/ Lester J. Taufen by Power of Attorney 2003-10-23 -----END PRIVACY-ENHANCED MESSAGE-----