-----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, Osg34qWlkVVrSnE2/Wpph0Q7JNq2A5T69Un9lHktpZMoWuA2dKjQDM4xMyzGVABe WYJbhEvlHL3wNz1Td6SJJg== 0000919574-03-001012.txt : 20030502 0000919574-03-001012.hdr.sgml : 20030502 20030502172506 ACCESSION NUMBER: 0000919574-03-001012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030502 FILED AS OF DATE: 20030502 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: KIMELMAN MICHAEL CENTRAL INDEX KEY: 0001158984 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 100 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 MAIL ADDRESS: STREET 1: 100 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ULTRALIFE BATTERIES INC CENTRAL INDEX KEY: 0000875657 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 161387013 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20852 FILM NUMBER: 03680531 BUSINESS ADDRESS: STREET 1: 2000 TECHNOLOGY PARKWAY CITY: NEWARK STATE: NY ZIP: 14513 BUSINESS PHONE: 3153327100 MAIL ADDRESS: STREET 1: 2000 TECHNOLOGY PARKWAY CITY: NEWARK STATE: NJ ZIP: 14513 4 1 d402500_form-4.txt U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 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 [_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). - ------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* Kimelman Michael - ------------------------------------------------------------------------------- (Last) (First) (Middle) 100 Park Avenue - ------------------------------------------------------------------------------- (Street) New York New York 10017 - ------------------------------------------------------------------------------- (City) (State) (Zip) - ------------------------------------------------------------------------------ 2. Issuer Name and Ticker or Trading Symbol Ultralife Batteries, Inc. (ULBI) - ------------------------------------------------------------------------------ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) - ------------------------------------------------------------------------------ 4. Statement for Month/Year May 1, 2003 - ------------------------------------------------------------------------------ 5. If Amendment, Date of Original (Month/Day/Year) - ------------------------------------------------------------------------------ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [_] Director [X] 10% Owner [_] Officer (give title below) [_] Other (specify below) - ------------------------------------------------------------------------------ 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by one Reporting Person [_] Form filed by more than one Reporting Person - ------------------------------------------------------------------------------ =============================================================================== Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ===============================================================================
5. Amount 6. 4. of Securities Owner- Securities Acquired (A) or Beneficially ship 2A. Deemed 3. Disposed of (D) Owned Form: 7. 2. Execution Transaction (Instr. 3, 4 and 5) Following Direct Nature of Transaction Date, Code ------------------------------- Reported (D) or Indirect 1. Date if any (Instr. 8) (A) Transaction(s) Indirect Beneficial Title of Security (Month/ (Month/ ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (Day/Year) Day/Year) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 5/1/2003 P 24 A 5.03 62,968 (I) ++ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(Print or Type Response) (Over) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ===============================================================================
9. 10. Number Owner- of ship Deriv- Form 2. ative of Conver- 5. 7. Secur- Deriv- 11. sion Number of Title and Amount ities ative Nature or Derivative 6. of Underlying 8. Bene- Secur- of Exer- 4. Securities Date Securities Price ficially ity: In- cise 3. 3A. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned Direct direct Price Trans- Deemed action or Disposed Expiration Date ---------------- Deriv- Following (D) or Bene- 1. of action Execution Code of(D) (Month/Day/Year) Amount ative Reported In- ficial Title of Deriv- Date Date, (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative ative (Month/ if any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security Secur- Day/ (Month/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. Instr. (Instr. 3) ity Year) Day/Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: ++ The securities reported on this filing are held in the account of an unregistered investment company over which the Reporting Person has investment discretion through the Reporting Person's position in the general partner of said entity. The Reporting Person in turn has a pecuniary interest in the securities held by said unregistered investment company equal to his portion of the incentive allocation potentially made to the general partner of said entity each year. /s/ Michael Kimelman May 2, 2003 - -------------------------------------------- ----------------------- **Signature of Reporting Person Date Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the Form is filed by more than one reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Page 2 02962.0001 #402500 -----END PRIVACY-ENHANCED MESSAGE-----