-----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, EnoTx6RYx7sZAGz2GXUCzOFQpatsWBFETTm4+Q4FeZDNnS678/zppaL2BjWFPhLS GJxkEYXlSl0PW55gea8UBA== 0000897069-04-000500.txt : 20040226 0000897069-04-000500.hdr.sgml : 20040226 20040226163634 ACCESSION NUMBER: 0000897069-04-000500 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040224 FILED AS OF DATE: 20040226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SISLER ANDREW M CENTRAL INDEX KEY: 0001207261 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07007 FILM NUMBER: 04631149 BUSINESS ADDRESS: STREET 1: BANDAG, INCORPORATED STREET 2: 2905 NORTH HIGHWAY 61 CITY: MUSCATINE STATE: IA ZIP: 52761-5886 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 4 1 cmw527_ex.xml X0201 4 2004-02-24 0 0000009534 BANDAG INC BDG, BDGA 0001207261 SISLER ANDREW M BANDAG, INCORPORATED 2905 NORTH HIGHWAY 61 MUSCATINE IA 52761-5886 0 1 0 0 VP-N. American Franchise Sales Common Stock, $1.00 Par Value 623.8404 D Class A Common Stock 2004-02-24 4 A 0 1579 0 A 2070.8536 D Stock Fund Unit 0 Common Stock 210.7000 210.7000 I By Profit Sharing Plan Stock Fund Unit 0 Class A Common Stock 244.2370 244.2370 I By Profit Sharing Plan Stock Option (Right to Buy) 21.0938 2010-03-07 Class A Common Stock 10400 10400 D Stock Option (Right to Buy) 24.35 2011-03-13 Class A Common Stock 7400 7400 D Stock Option (Right to Buy) 32.53 2012-03-12 Class A Common Stock 8600 8600 D Stock Option (Right to Buy) 27.675 2013-02-25 Class A Common Stock 11700 11700 D Stock Option (Right to Buy) 44.41 2004-02-24 4 A 0 4300 0 A 2014-02-24 Class A Common Stock 4300 4300 D Column 5 of Table I includes 4.8450 shares of Common Stock and 3.8732 shares of Class A Common Stock acquired through automatic reinvestment of dividends under the Bandag, Incorporated Dividend Reinvestment and Optional Cash Purchase Plan ("DRP") since December 31, 2003. Andrew M. Sisler participates in the Bandag, Incorporated Restricted Stock Grant Plan ("Plan"). Column 5 of Table I includes 385 shares of Common Stock and 385 shares of Class A Common Stock held by Mr. Sisler under the Plan. The shares are restricted for 7 years when granted and are held by a Trustee for the benefit of Mr. Sisler. Andrew M. Sisler participates in the Bandag, Incorporated Stock Award Plan ("Stock Award Plan"). Column 5 of Table I includes 1,579 shares of the Class A Common Stock held by Mr. Sissler under the Stock Award Plan. The shares are restricted for 3 years when granted and are held by a Trustee for the benefit of Mr. Sissler. Represents stock fund units under the Bandag Salaried Profit Sharing, Retirement and Savings Plan ("Profit Sharing Plan"), including 4 shares of Common Stock and 4 shares of Class A Common Stock acquired during February 2004. 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 January 31, 2004. 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 10,400 shares of Class A Common Stock with 20% vesting (2,080 shares) on each of March 7, 2001, 2002, 2003, 2004, 2005. Options for 7,400 shares of Class A Common Stock with 20% vesting (1,480 shares) on each of March 13, 2002, 2003, 2004, 2005, 2006. Options for 8,600 shares of Class A Common Stock with 25% vesting (2,150 shares) on each of March 12, 2003, 2004, 2005, 2006. Options for 11,700 shares of Class A Common Stock with 25% vesting (2,925 shares) on each of February 25, 2004, 2005, 2006, 2007. Options for 4,300 shares of Class A Common Stock with 25% vesting (1,075 shares) on each of February 24, 2005, 2006, 2007, 2008. Andrew M. Sisler 2004-02-24 -----END PRIVACY-ENHANCED MESSAGE-----