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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 | ||||||||
PHANTOM STOCK UNITS | (2) | 12/03/2007 | A(3) | 100.6 | (2) | (2) | COMMON STOCK | 100.6 | $ 49.7 | 36,654.07 (4) | D | ||||
PHANTOM STOCK UNITS | (2) | 12/04/2007 | A(3) | 148.19 | (2) | (2) | COMMON STOCK | 148.19 | $ 50.61 | 36,802.26 | D | ||||
PHANTOM STOCK UNITS | (2) | 12/05/2007 | J(5) | 120.62 | (2) | (2) | COMMON STOCK | 120.62 | $ 54.55 | 36,922.88 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WAGNER HAROLD A 777 106TH AVENUE NE BELLEVUE, WA 98004 |
X |
H.A. Wagner by Janice D'Amato POA | 12/05/2007 | |
**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) | On September 11, 2007 PACCAR declared a stock dividend of one additional share of common stock for every two shares of common stock payable October 9, 2007 to all holders of record of common stock on September 25, 2007. As a result of the stock dividend the reporting person received 7,646 additional shares of PACCAR common stock. Reporting person received $28.52 for a fractional share valued as of October 9, 2007. |
(2) | The units are to be settled 1-for-1 in PACCAR common stock after termination of the Reporting Person's status as a non-employee director. |
(3) | Cash compensation deferred into phantom stock account under PACCAR Restricted Stock and Deferred Compensation Plan for Non-Employee Directors. |
(4) | Total adjusted to reflect 50% stock dividend. |
(5) | Dividend on shares in phantom stock account under PACCAR Restricted Stock and Deferred Compensation Plan for Non-Employee Directors (RSDCP), reinvested pursuant to the terms of the RSDCP. |