5 1 clark.htm FORM 5 CLARK Converted by FileMerlin


FORM 5



 

U.S. SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


ANNUAL 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(h) of the Investment Company Act of 1940

OMB APPROVAL





□ Check this box if no longer subject to Section 16.  Form 4 or Form 5 obligations may continue.  See Instruction 1(b)
□ Form 3 Holdings Reported
□ Form 4 Transactions Reported

 OMB Number 3235-0362
Expires: January 31, 2005
Estimated average burden hours per response 1.0

 

    

 

1. Name and Address of Reporting Person*   

2. Issuer Name and Ticker or Trading Symbol

Flanders Corporation (FLDR)

6. Relationship of Reporting Person(s) to Issuer

(Check all applicable)
  

 _X__Director                        _X_10% Owner
 _X_Officer (give title below) ___Other (specify)

Chief Financial Officer; Vice President of Finance

   (Last)

(First)

(Middle)   


Clark, Steven K.

3. I.R.S. Identification

   Number of Reporting

   Person, if an entity

   (Voluntary)

4. Statement for Month/Year


February 14, 2003

 

(Street)


2399 26th Avenue North

5. If Amendment, Date of Original

   (Month/Year)

7. Individual or Joint/Group Reporting (Check Applicable Line)

     X   Form filed by One Reporting Person

         Form filed by More than One Reporting Person

   (City)

(State)

(Zip) 

St. Petersburg, FL 33713  

Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security

   (Instr. 3)

2.Trans-

action

Date   (Month/

   Day/

   Year)

2A.

Deemed Execu-

tion Date, if any (Month/

Day/

Year)

3. Trans-action

Code

(Instr. 8)

4. Securities Acquired (A) or

   Disposed of (D)

   (Instr. 3, 4, and 5)

5. Amount of

   Securities

   Beneficially

   Owned at End

   of Issuer's

   Fiscal Year

  (Instr. 3 and 4)

6. Ownership

   Form:  

   Direct (D)

   or Indirect

   (I)

   (Instr. 4)

7. Nature of

   Indirect

   Beneficial

   Ownership

   (Instr. 4)


Amount

 

(A) or (D)


Price

 Common Stock, .001$ par value  12/30/2002         G  20,000   D  $1.72          D  
 Common Stock, .001$ par value                 3,135,183     D  
                   
                   
                   
                   
                   
                   
                   


(Over)

* If the form is filed by more than one person, see Instruction 4(b)(v).  

SEC 2270 (9-02)

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.  

FORM 5 (continued)

Table II Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)


1. Title of Derivative Security

   (Instr. 3)

2. Conver-

   sion or

   Exercise

   Price of

   Deriva-

   tive

   Security

3. Trans-action 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

   Underlying Securities

   (Instr. 3 and 4)

8. Price of

   Derivative

   Security

   (Instr. 5)

9. Number

   of

   Derivative

   Securities

   Benefic-

   ially

   Owned at

   End of

   Year

   (Instr. 4)

10. Ownership

    Form of

    of Deriva-

    tive

    Security:

    Direct (D)

    or Indirect

    (I)

    (Instr. 4)

11. Nature

    of

    In-

    direct

    Bene-

    ficial

    Owner

    ship

    (Instr. 4)

 Date

 Exercis-

 able

  Expira-

  tion

 Date



Title

Amount or

Number of

Shares

       

(A)

(D)

        
 Stock Option (Right to Purchase Common Stock)  $2.50            6/2/2002  12/2/2006 Common Stock, .001$ par value 1,000,00     0 1,000,000    D    
 Stock Option (Right to Purchase Common Stock)  $7.50            6/22/2000 2/22/2006 Common Stock, .001$ par value 1,000,000     0 1,000,000     D   
                             


Explanation of Responses:






  





 

/s/ Steven K. Clark

    

 

 

February 14, 2003

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.

See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).  

  

**Signature of Reporting Person

  

Date

Note:

File three copies of this Form, one of which must be manually signed.

If space provided is insufficient, see Instruction 6 for procedure.

        

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.  

      

Page 2

SEC 2270 (9-02)