UNITED STATES SECURITIES AND EXCHANGE COMMISSION
FORM 4 WASHINGTON, D.C. 20549
|_| CHECK THIS BOX IF NO
LONGER SUBJECT TO SECTION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
16. FORM 4 OR FORM 5
OBLIGATIONS MAY Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
CONTINUE. Section 17(a) of the Public Utility Holding Company Act of 1935
SEE INSTRUCTION 1(b). or Section 30(h) of the Investment Company Act of 1940
(Print or Type Responses)
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1. Name and Address of Reporting 2. Issuer Name and Ticker or Trading 6. Relationship of Reporting Person to
Person* Symbol Issuer
(Check all applicable)
Raytech Corporation Asbestos Raytech Corporation (RAY)
Personal Injury Settlement Trust Director X 10% Owner
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(Last) (First) (Middle) 3. I.R.S. Indent 4. Statement for Officer (give Other (specify
ification Number Month/Day/Year ----- title below) ----- below)
c/o Meltzer, Lippe, Goldstein & of Reporting Person,
Schlissel, LLP, if an entity December 23, 2003 --------------------------
190 Willis Ave. (Voluntary)
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(Street) 5. If Amendment, 7. Individual or Joint/Group Filing
Date of Original (Check Applicable Line)
(Month/Day/Year) X Form filed by One Reporting Person
---
Form filed by More than One Reporting Person
Mineola NY 11501 ---
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(City) (State) (Zip) TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2.Trans- 2A. 3.Trans- 4.Securities Acquired 5.Amount of 6.Owner- 7.Nature of
(Instr. 3) action Deemed action (A)or Disposed of Securities ship Form: Indirect
Date Execution Code (D)(Instr.3,4 and 5) Beneficially Direct (D) Beneficial
Date, if (Instr. 8) Owned or Indirect Ownership
any Following (I)
-------------------------------- Reported
(Month/ (Month/ (A) Transaction(s)
Day/Year) Day/Year) Code V Amount or (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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Common Stock 12-18-02 S 800 D $7.0375 D
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Common Stock 12-20-02 S 10,400 D $7 D
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Common Stock 12-23-02 S 2,500 D $7 34,570,732 D
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Reminder: Report on a separate line for each class of securities beneficially PERSONS WHO RESPOND TO THE COLLECTION OF
owned directly or indirectly. INFORMATION CONTAINED IN THIS FORM ARE NOT
* If the form is filed by more than one reporting person, SEE Instruction 4(b)(v). 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)
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1.Title of 2.Conver- 3.Trans- 3A. 4.Transac- 5.Number of 6.Date 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Deriv- sion or action Deemed tion Derivative Exer- Amount of of of ship of
ative Excer- Date Execution Code Securities cisable Underlying Deriv- Deriv- Form of Indirect
Security cise (Month/ Date, if (Instr. 8) Acquired and Securities ative ative Deriv- Benefi-
(Instr.3) Price of Day/ any (A) or Expira- (Instr. 3 Security: Secur- ative cial
Deriva- Year) (Month/ Disposed of tion and 4) (Instr. ities Security: Owner-
tive Day/Year) (D) (Instr. Date 5) Bene- Direct ship
Security 3, 4 and 5) (Month/ ficially (D) (Instr.
Day/Year) Owned or 4)
Follow- Indirect
ing (I)
Reported (Instr. 4)
Trans-
action(s)
(Instr. 4)
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Amount
Date Expira- or
----------------------- Exer- tion Title Number
Code V (A) (D) cisable Date Shares
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Explanation of Responses:
Raytech Corporation Asbestos Personal Injury
Settlement Trust
BY: /S/ RICHARD A. LIPPE JANUARY 7, 2003
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** Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Richard A. Lippe, Trustee
Note: File three copies of this Form, one of which must be manually signed.
If space provided 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 control number.
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