-----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, LDCsffCAVpEBXh8qf0ARElFAxyoPWtHtd3rs8i9bf/sa1gPWdQYUtaIsPERI3xuN MpR6IsIRyAfaqodwjCXNkg== 0001015874-96-000004.txt : 19960910 0001015874-96-000004.hdr.sgml : 19960910 ACCESSION NUMBER: 0001015874-96-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960909 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: REPUBLIC AUTOMOTIVE PARTS INC CENTRAL INDEX KEY: 0000083194 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MOTOR VEHICLE SUPPLIES & NEW PARTS [5013] IRS NUMBER: 381455545 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06215 FILM NUMBER: 96627447 BUSINESS ADDRESS: STREET 1: 500 WILSON PIKE CIRCLE STE 115 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6153732050 MAIL ADDRESS: STREET 1: P.O. BOX 2088 CITY: BRENTWOOD STATE: TN ZIP: 37024 FORMER COMPANY: FORMER CONFORMED NAME: REPUBLIC GEAR INDUSTRIES INC DATE OF NAME CHANGE: 19720825 COMPANY DATA: COMPANY CONFORMED NAME: DAINORA ANTHONY R CENTRAL INDEX KEY: 0001015874 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: P O BOX 2088 CITY: BRENTWOOD STATE: TN ZIP: 37024-2088 BUSINESS PHONE: 6153732050 MAIL ADDRESS: STREET 1: P O BOX 2088 CITY: BRENTWOOD STATE: TN ZIP: 37024-2088 4 1 FORM 4 - AUGUST 1996 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. FORM 4 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Dainora, Anthony R. 1537 Kinnard Drive Franklin, TN 37064 USA 2. Issuer Name and Ticker or Trading Symbol Republic Automotive Parts, Inc. RAUT 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year August 1996 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Secretary
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |* |T |V|30 |A |* |1,986 |I* |401(k) Plan | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |5,000 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Employee Stock Option | | | | | | | | | | | |17,000 |D | | (Right to Buy) | | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: * - These shares were acquired during the period April 1, 1996 through June 30, 1996 pursuant to the Republic Automotive Parts, Inc. Savings Plan at a price of $16.00 per share. The information is based on a plan statement date of June 30, 1996. SIGNATURE OF REPORTING PERSON Anthony R. Dainora DATE September 9, 1996 -----END PRIVACY-ENHANCED MESSAGE-----