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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 (2) | $ 20.93 (3) | 01/01/2006 | 01/15/2013 | COMMON STOCK | 8,430 (3) | 8,430 (3) | D | ||||||||
STOCK OPTION (2) | $ 37.97 (4) | 01/01/2007 | 01/15/2014 | COMMON STOCK | 4,801 (4) | 4,801 (4) | D | ||||||||
STOCK OPTION (2) | $ 48.17 (3) | 01/01/2008 | 01/20/2015 | COMMON STOCK | 5,292 (3) | 5,292 (3) | D | ||||||||
STOCK OPTION (2) | $ 48.34 (3) | 01/01/2009 | 01/26/2016 | COMMON STOCK | 6,036 (3) | 6,036 (3) | D | ||||||||
COMMON STOCK (LTIP) (5) | (5) | 09/05/2006 | J(6) | 7.5 | (5) | (5) | COMMON STOCK | 7.5 | $ 56.38 | 2,111.4 (7) | D | ||||
COMMON STOCK (DICP) (8) | (8) | 09/05/2006 | J(9) | 21.5 | (8) | (8) | COMMON STOCK | 21.5 | $ 56.38 | 6,079.7 (10) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SKREDSVIG JANICE B 777 106TH AVENUE NE BELLEVUE, WA 98004 |
VICE PRESIDENT & CIO |
Janice B. Skredsvig | 09/07/2006 | |
**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) | Shares held in PACCAR Savings Investment Plan (SIP). On July 11, 2006 PACCAR declared a stock dividend of one additional share of common stock for every two shares of common stock payable August 10, 2006 to all holders of record of common stock on July 27, 2006. However, SIP shares not adjusted for 50% stock dividend pending receipt of SIP trustee's report. |
(2) | Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). |
(3) | Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. |
(4) | Number of derivative securities, underlying securities and price adjusted to reflect 50% stock dividend. Reporting person received $7.11 for a fractional share, valued as of July 27, 2006. |
(5) | Share units held in deferred phantom stock account under LTIP convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
(6) | Dividend on share units held in deferred phantom stock account under LTIP reinvested pursuant to LTIP. |
(7) | Pursuant to the anti-dilution provisions of the LTIP, total adjusted by 701.3 additional units to reflect 50% stock dividend. |
(8) | Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
(9) | Dividend on share units held in deferred phantom stock account under DICP reinvested pursuant to DICP. |
(10) | Pursuant to the anti-dilution provisions of the DICP, total adjusted by 2,019.4 additional units to reflect 50% stock dividend. |
Remarks: Fractional shares rounded to nearest 1/10. |