-----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, SN+zZDUdESy0D5JTvUqnIqOdaLxsVBuNJc0wpfON/AkhFebJhITLYpwWp7glin5w RXyQqHD4D9ax3zBbGS7P/Q== 0000926044-02-000280.txt : 20021030 0000926044-02-000280.hdr.sgml : 20021030 20021030162700 ACCESSION NUMBER: 0000926044-02-000280 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021029 FILED AS OF DATE: 20021030 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 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12733 FILM NUMBER: 02803343 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BARONE TONY A CENTRAL INDEX KEY: 0001030304 STANDARD INDUSTRIAL CLASSIFICATION: METAL FORGING & STAMPINGS [3460] RELATIONSHIP: OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O TOWER AUTOMOTIVE INC STREET 2: 6303 28TH ST S.E. CITY: GRAND RAPIDS STATE: MI ZIP: 49546 BUSINESS PHONE: 6169547000 MAIL ADDRESS: STREET 1: C/O TOWER AUTOMOTIVE INC STREET 2: 6303 28TH ST S.E. CITY: GRAND RAPIDS STATE: MI ZIP: 49546 4 1 barone4102902.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* Barone Tony A. (Last) (First) (Middle) c/o Tower Automotive, Inc. 6303 28th Street, S.E. (Street) Grand Rapids MI 49546 (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Tower Automotive, Inc. TWR 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Day/Year 10/29/02 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ____ Director ___ 10% Owner _X__ Officer (give title below) ___ Other (specify below) -Vice President, Treasurer and CFO 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) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) Code V 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount (A) or (D) Price 5. Amount of Securities Beneficially Owned Following Reported Transactions (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) 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) Trust Convertible Preferred Securities 2. Conversion or Exercise Price of Derivative Security 1.628 for 1 3. Transaction Date (Month/Day/Year) 10/29/02 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) Code P V - 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) 450 (D) 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Immediately Expiration Date 6/30/18 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Title Common Stock Amount or Number of Shares 732.6 8. Price of Derivative Security (Instr. 5) $27.00 9. Number of Derivative Securities Beneficially Owned Following Reported Transactions (Instr. 4) 450 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) (I) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Joint with mother Explanation of Responses: /s/ Michael G. Wooldridge 10/29/02 **Signature of Reporting Person Date Michael G. Wooldridge for Tony A. Barone by Power of Attorney 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. -----END PRIVACY-ENHANCED MESSAGE-----