SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
GAETZ RICK

(Last) (First) (Middle)
1228 RAVINE DR

(Street)
MISSISSAUGA ONTARIO CANADA A6 L5J 3E4

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/10/2004
3. Issuer Name and Ticker or Trading Symbol
VITRAN CORP INC [ VTN.A ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 69,120 D
Class A Common Stock 43,405 I Barbara Underhill (Wife)
Class A Common Stock 7,200 I Mattwew Gaetz Trust
Class A Common Stock 12,200 I Samantha Gaetz Trust
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 06/05/1995 06/05/2004 Class A Common Stock 50,000 $5.88(1) D
Options 06/08/1997 06/08/2006 Class A Common Stock 50,000 $4(1) D
Options 07/01/1998 07/01/2007 Class A Common Stock 40,000 $4.25(1) D
Options 08/03/1999 08/03/2008 Class A Common Stock 10,000 $7.25(1) D
Options 09/03/2000 09/03/2009 Class A Common Stock 7,500 $8.25(1) D
Options 09/10/2000 09/10/2009 Class A Common Stock 50,000 $7(1) D
Options 02/19/2002 02/19/2011 Class A Common Stock 15,000 $4(1) D
Options 02/02/2003 02/02/2012 Class A Common Stock 50,000 $3.5(1) D
Explanation of Responses:
1. Canadian
"Rick Gaetz" 02/19/2004
** 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 5 (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 is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.