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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option Right to Buy | $ 12.98 | 04/19/2006 | M(1) | 7,489 | (1) | 08/04/2007(1) | Common Stock | 7,489 | (2) | 80,500 | D | ||||
Stock Option Right to Buy | $ 12.98 | 04/20/2006 | M(1) | 80,500 | (1) | 08/04/2007(1) | Common Stock | 80,500 | (2) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BLOSS DAVID A SR C/O CIRCOR INTERNATIONAL, INC. 25 CORPORATE DRIVE, SUITE 130 BURLINGTON, MA 01803 |
X | Chairman, President & CEO |
Alan J. Glass, Attorney-in-Fact | 04/21/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The stock options exercised herein reflect the cashless exercise of certain options scheduled to expire on August 4, 2007. In connection with the October 1999 spin-off of CIRCOR from Watts Industries, 87,989 options were granted to the reporting person on 10/18/99 as replacement options for options previously granted to the reporting person by Watts on 8/4/1997. The transaction reported herein is pursuant to a pre-programmed plan previously entered into by the reporting person and his broker pursuant to a Rule 10B5-1 Plan. |
(2) | Upon exercise, the underlying options convert into shares of the issuer's common stock on a one-for-one basis. |