FORM 4
[ ] Check this box if no longer
subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) |
UNITED STATES 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(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
Wierda
Craig A.
(Last) (First) (Middle)
235 Central Avenue
(Street)
Holland MI 48801
(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol Clarion Technologies, Inc. - CLAR.OB 3. I.R.S. Identification
Number of Reporting Person, if an entity (voluntary) |
4. Statement for Month/Day/Year 12/31/2002
5. If Amendment, Date of Original (Month/Day/Year) |
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable) X Director
X 10% Owner
Officer (give title below)
Other (specify below)
7. Individual or Joint/Group Filing
(Check Applicable Line) X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security (Instr. 3) |
2.Transaction
Date (Month/Day/Year) |
2A. Deemed
Execution Date, if any (Month/Day/Year) |
3. Trans- action Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
5. Amount of
Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) |
6. Owner-
ship Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of
Indirect Beneficial Ownership (Instr. 4) |
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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12/31/2002
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P
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--
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10,700
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A
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$.4572
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10,700
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I
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By Child
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Common Stock
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12/31/2002
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P
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--
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10,700
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A
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$.4572
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10,700
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I
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By Child
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Common Stock
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12/31/2002
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P
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--
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10,700
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A
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$.4572
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10,700
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I
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By Child
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Common Stock
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12/31/2002
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P
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--
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10,700
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A
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$.4572
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10,700
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I
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By Child
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3,146,000
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I
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By Trust
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1,000,000
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I
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By Limited Partnership
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9,000,000
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I
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By Trust
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2,500,000
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I
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By Trust
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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). |
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. |
(Over) SEC 1474 (9-02) |
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) |
2. Conver-
sion or Exercise Price of Deri- vative Security |
3. Trans-
action Date (Month/ Day/ Year) |
3A. Deemed Execution Date, if any
(Month/ Day/ Year) |
4. Trans- action Code (Instr.8) |
5. Number of Deriv- ative Securities Ac- quired (A) or Dis- posed of (D) (Instr. 3, 4 and 5) |
6. Date Exercisable
(DE) and Expiration Date (ED) (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 Trans- action(s) (Instr.4) |
10. Owner- ship Form of Deriv- ative Security: Direct (D) or Indirect (I) (Instr.4) |
11. Nature of Indirect Beneficial Ownership (Instr.4) |
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Code
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V
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A
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D
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DE
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ED
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Title
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Amount or Number of Shares
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** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
/s/ Pamela S. Emenheiser
** Signature of Reporting Person Pamela S. Emenheiser for Craig A. Wierda by Power of Attorney |
01/03/03
Date |