-----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, VQUu/rAHvbb21Wl+JWjhDY8CAU1IF/CwhxmYSxE+Z/ZeLN59/L9na8JajD+EEN1C fIkwYdvRtgsRHBGjD88yhQ== 0000823927-00-000013.txt : 20000202 0000823927-00-000013.hdr.sgml : 20000202 ACCESSION NUMBER: 0000823927-00-000013 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991231 FILED AS OF DATE: 20000113 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ELECTROSOURCE INC CENTRAL INDEX KEY: 0000823927 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 742466304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-16323 FILM NUMBER: 506813 BUSINESS ADDRESS: STREET 1: 2809 INTERSTATE 35 SOUTH CITY: SAN MARCOS STATE: TX ZIP: 78666 BUSINESS PHONE: 5127536500 MAIL ADDRESS: STREET 1: 2809 INTERSTATE 35 SOUTH CITY: SAN MARCOS STATE: TX ZIP: 78666 COMPANY DATA: COMPANY CONFORMED NAME: HACKERMAN NORMAN CENTRAL INDEX KEY: 0001045416 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 2001 PECOS CITY: AUSTIN STATE: TX ZIP: 78703 BUSINESS PHONE: 5124715835 MAIL ADDRESS: STREET 1: ELECTROSOURCE INC STREET 2: 2809 INTERSTATE 35 SOUTH CITY: SAN MARCOS STATE: TX ZIP: 78666 5 1 FORM 5 - 1999 Norman Hackerman 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(f) of the Investment Company Act of 1940 ___ Check here 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 1. Name and Address of Reporting Person: NORMAN HACKERMAN 2001 Pecos Austin, TX 78703 2. Issuer Name and Ticket or Trading Symbol ELECTROSOURCE, INC. ELSI 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year Year end 1999 5. If Amendment, Date of Original (Month/Year) N/A 6. Relationship of Reporting Person to Issuer (Mark all applicable) Yes X No ___ Director Yes ___ No ___ 10% Owner Yes ___ No ___ Officer (give title below) Yes ___ No ___ Other (specify below) TABLE I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instruction 3) Common Stock, $1.00 par value 2. Transaction Date (Month/Day/Year) N/A 3. Transaction Code (Instruction 8) N/A 4. Securities Acquired (A) or Disposed of (D) (Instructions 3, 4 and 5): A. Amount: None B. Acquired (A) 0 Disposed of (D) 0 C: Price: 5. Amount of Securities Beneficially Owned at End of Issuer's Fiscal Year (Instructions 3 and 4): 403 Shares 6. Ownership Form: Direct (D) or Indirect (I) (Instruction 4) Direct 7. Nature of Indirect Beneficial Ownership (Instruction 4): N/A TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instruction 3) Options to Purchase shares under the 1996 Stock Option Plan 2. Conversion or Exercise Price of Derivative Security $1.125 per share 3. Transaction Date (Month/Day/Year) September 1, 1999 4. Transaction Code (Instruction 8) A - Grant of a Stock Option 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instructions 3, 4 and 5): A. Acquired (A): 2,000 B. Disposed of (D): None 6. Date Exercisable and Expiration Date (Month/Day/Year) A. Date Exercisable October 1, 1999 B. Expiration Date September 1, 2009 7. Title and Amount of Underlying Securities (Instructions 3 and 4) A. Title Common Stock, $1.00 par value B. Amount or Number of Shares 2,000 8. Price of Derivative Security (Instruction 5) These derivative securities were issued pursuant to the 1996 Stock Option Plan at no cost to the recipient. 9. Number of Derivative Securities Beneficially Owned at End of Year (Instruction 4) 21,000 shares 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instruction 4): Direct 11. Nature of Indirect Beneficial Ownership (Instruction 4): N/A Explanation of Responses: None /s/ Norman Hackerman Date: January 12, 2000 -----END PRIVACY-ENHANCED MESSAGE-----