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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 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 | ||||||||
Ethan AllenCommon Stock - Options | $35.52 | 08/01/2003 | A | 200,000 | 08/01/2004 | 08/01/2013 | Ethan Allen Common Stock Options | 200,000 | $ 0 | 3,200,050 | D | ||||
Ethan Allen Common Stock - Options | $35.52 | 08/01/2003 | A | 200,000 | 08/01/2005 | 08/01/2013 | Ethan Allen Common Stock - Options | 200,000 | $ 0 | 3,400,050 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KATHWARI M FAROOQ ETHAN ALLEN INTERIORS INC. ETHAN ALLEN DRIVE DANBURY, CT 06811 |
X | X | Chairman, President, CEO |
M. Farooq Kathwari | 08/01/2003 | |
**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) | This filing is to report a grant of options only - no change in non-derivative holdings |
(2) | Table I - Row 5 / Non-Derivative Holdings Includes (a) 1,684,928 shares owned directly by Mr. Kathwari; (b) 235,954 shares issued upon the exercise of stock options, which are included in Mr. Kathwari's direct holdings, but as to which delivery of the shares has been deferred; (c) 21,000 shares of restricted stock owned directly by Mr. Kathwari; (d) 4,431 shares held directly by Mr. Kathwari in the Ethan Allen Retirement Savings Plan; |
(3) | Table I - Row 5 / Non-Derivative Holdings Includes (e)152,686 shares owned by the Irfan Kathwari Foundation, of which Mr. Kathwari disclaims beneficial ownership; and (f) 55,364 shares owned by immediate family members, of which Mr. Kathwari disclaims beneficial ownership. |