-----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, Qpvz5doaaedpTS5w673aCc6RNNokK/cRi3NMqbGNh3Qi+bluA3lEmloO5fUSp64D +pZsJbwgdmXu/paQgR0BPA== 0000926044-02-000130.txt : 20020503 0000926044-02-000130.hdr.sgml : 20020503 ACCESSION NUMBER: 0000926044-02-000130 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011228 FILED AS OF DATE: 20020503 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TOWER AUTOMOTIVE INC CENTRAL INDEX KEY: 0000925548 STANDARD INDUSTRIAL CLASSIFICATION: METAL FORGING & STAMPINGS [3460] IRS NUMBER: 411746238 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12733 FILM NUMBER: 02633308 BUSINESS ADDRESS: STREET 1: 4508 IDS CENTER CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: 6123422310 MAIL ADDRESS: STREET 1: 4508 IDS CENTER CITY: MINNEAPOLIS STATE: MN ZIP: 55402 COMPANY DATA: COMPANY CONFORMED NAME: JOHNSTON KATHY CENTRAL INDEX KEY: 0001134281 OFFICER FILING VALUES: FORM TYPE: 4/A BUSINESS ADDRESS: STREET 1: TOWER AUTOMOTIVE INC STREET 2: 5211 CASCADE ROAD CITY: GRAND RAPIDS STATE: MI ZIP: 49546 4/A 1 johnston4adec.txt U.S. SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 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 this 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* Johnston Kathy (Last) (First) (Middle) Tower Automotive, Inc. 5211 Cascade Road, S.E. (Street) Grand Rapids Michigan 49546 (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Tower Automotive, Inc. 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 12/01 5. If Amendment, Date of Original (Month/Year) 12/01 6. Relationship of Reporting Person to Issuer (Check all applicable) ____ Director ___ 10% Owner _x__ Officer (give title below) ___ Other (specify below) -Leader, Business Development 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 Benefically Owned 1. Title of Security (Instr. 3) Common Stock 2. Transaction Date (Month/Day/Year) 12/28/01 3. Transaction Code (Instr. 8) Code J* V V 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount 3,676.4710 (A) or (D) (A) Price $5.78 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 3,676.4710 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) (D) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly (Print or Type Responses) If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v) (over) *Exempt purchase under Section 423 Plan FORM 4 (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. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 4. Transaction Code (Instr. 8) Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) (D) 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Explanation of Responses: /s/ Michael Wooldridge 5/3/02 **Signature of Reporting Person Date Michael Wooldridge for Kathy Johnston by Power of Attorney **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. -----END PRIVACY-ENHANCED MESSAGE-----