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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 | ||||||||
Director Deferred Fee Plan Units | $ 0 (1) | 04/19/2005 | A(2) | 6,593 | (3) | (4) | Common | 6,593 | $ 0 | 11,150 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GRISE CHERYL W P.O. BOX 1000 TOLEDO, OH 43697 |
X |
Cheryl Grise | 04/20/2005 | |
**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) | One unit is at all times deemed to be equivalent to one share of Dana stock, i.e., when the participant receives a distribution of units he/she will receive one share of stock for each unit credited or the cash equivalent thereof as determined under the Director Deferred Fee Plan. |
(2) | Phantom units credited under Dana's Director Deferred Fee Plan. Exempt from Section 16(b) under Rule 16b-3. |
(3) | Units credited under Dana's Director Deferred Fee Plan do not have an exercise date. Participants are entitled to receive distributions upon retirement or termination. |
(4) | Units credited under Dana's Director Deferred Fee Plan do not have an expiration date. Participants are entitled to receive distributions upon retirement or termination. |