-----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, I6bItgatzunSCUbD/OpWplHQQZau0zR1lFScvVC7iX9C6DHD4aK6FZ9ZlEMGZ464 rPsUW4fuEl9gh5y0cucBwQ== 0000897069-04-000263.txt : 20040205 0000897069-04-000263.hdr.sgml : 20040205 20040205124252 ACCESSION NUMBER: 0000897069-04-000263 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATTISON JEFFREY C CENTRAL INDEX KEY: 0001207259 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07007 FILM NUMBER: 04569319 MAIL ADDRESS: STREET 1: BANDAG INC STREET 2: 2905 N HWY 61 CITY: MUSCATINE STATE: IA ZIP: 52761 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BANDAG INC CENTRAL INDEX KEY: 0000009534 STANDARD INDUSTRIAL CLASSIFICATION: TIRES AND INNER TUBES [3011] IRS NUMBER: 420802143 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2905 NORTH HIGHWAY 61 STREET 2: BANDAG HEADQUARTERS CITY: MUSCATINE STATE: IA ZIP: 52761-5886 BUSINESS PHONE: 5632621400 MAIL ADDRESS: STREET 1: 2905 N HIGHWAY 61 STREET 2: BANDAG HEADQUARTERS CITY: MUSCATINE STATE: IA ZIP: 52761-5886 5 1 cmw416_ex.xml X0201 5 2003-12-31 0 0 0 0000009534 BANDAG INC BDG, BDGA 0001207259 PATTISON JEFFREY C BANDAG, INCORPORATED 2905 NORTH HIGHWAY 61 MUSCATINE IA 52761-5886 0 1 0 0 Vice President and Treasurer Common Stock, $1.00 Par Value 83.2288 D Class A Common Stock, $1.00 Par Value 83.1866 D Stock Fund Unit 0 Common Stock 157.1410 157.1410 I By Profit Sharing Plan Stock Fund Unit 0 Class A Common Stock 181.4230 181.4230 I By Profit Sharing Plan Employee Stock Option (Right to Buy) 21.0938 2010-03-07 Class A Common Stock 4400 4400 D Employee Stock Option (Right to Buy) 24.35 2011-03-13 Class A Common Stock 3000 3000 D Employee Stock Option (Right to Buy) 32.53 2012-03-12 Class A Common Stock 2500 2500 D Employee Stock Option (Right to Buy) 27.6750 2013-02-25 Class A Common Stock 6500 6500 D Column 5 of Table I includes 2.2254 shares of Common Stock and 2.4229 Class A Common Stock acquired through automatic reinvestment of dividends under the Bandag, Incorporated Dividend Reinvestment and Optional Cash Purchase Plan ("DRP") since February 25, 2003. Jeffrey C. Pattison participates in the Bandag, Incorporated Restricted Stock Grant Plan ("Plan"). Column 5 of Table I includes 70 shares of Common Stock and 70 shares of Class A Common Stock held by Mr. Pattison under the Plan. The shares are restricted for 7 years when granted and are held by a Trustee for the benefit of Mr. Pattison. Represents stock fund units under the Bandag Salaried Profit Sharing, Retirement and Savings Plan ("Profit Sharing Plan"). Distributions will be made upon the earliest to occur of termination of employment, death or retirement, subject to limited exceptions. The number of underlying securities is based on the number of stock fund units, the value of these units and the Company's Common and Class A Common Stock market values as of December 31, 2003. The actual number of shares issuable upon the distribution date is not determinable since the stock fund is a unitized account consisting of Company stock and other investments. Options for 4,400 shares of Class A Common Stock with 20% vesting (880 shares) on each of March 7, 2001, 2002, 2003, 2004, 2005. Options for 3,000 shares of Class A Common Stock with 20% vesting (600 shares) on each of March 13, 2002, 2003, 2004, 2005, 2006. Options for 2,500 shares of Class A Common Stock with 25% vesting (625 shares) on each of March 12, 2003, 2004, 2005, 2006. Options for 6,500 shares of Class A Common Stock with 25% vesting (1,625 shares) on each of February 25, 2004, 2005, 2006, 2007. Jeffrey C. Pattison 2004-02-02 -----END PRIVACY-ENHANCED MESSAGE-----