SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STERET, SUITE 4200 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
OWENS ILLINOIS INC /DE/
[ OI ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 12/02/2004
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/02/2004 |
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S
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30,555,000 |
D |
$22.98
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4,365,000 |
I |
See Footnotes
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Common Stock |
12/02/2004 |
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S
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742,525 |
D |
$22.98
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106,075 |
I |
See Footnotes
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Common Stock |
12/02/2004 |
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S
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202,475 |
D |
$22.98
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28,925 |
I |
See Footnotes
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Common Stock |
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|
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10,000
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D |
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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 Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STERET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & COMPANY |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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1. Name and Address of Reporting Person*
C/O KOHLBERG KRAVIS ROBERTS & CO. |
9 WEST 57TH STREET, SUITE 4200 |
(Street)
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Explanation of Responses: |
Remarks: |
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Richard J. Kreider, Attorney-in-Fact for all Reporting Persons |
12/06/2004 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* 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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
POWER OF ATTORNEY
Know all men by these presents that Perry Golkin
does hereby make, constitute and appoint William J. Janetschek and Richard
J. Kreider, or either one of them, as a true and lawful attorney-in-fact of
the undersigned with full powers of substitution and revocation, for and in
the name, place and stead of the undersigned (both in the undersigned's
individual capacity and as a member of any limited liability company or
limited partnership for which the undersigned is otherwise authorized to
sign), to execute and deliver such forms as may be required to be filed
from time to time with the Securities and Exchange Commission with respect
to any investments of KKR Associates, L.P., KKR Associates 1996 L.P., KKR
1996 GP L.L.C., KKR Associates II (1996) Limited Partnership, KKR 1996
Overseas, Limited, KKR Associates (Strata) L.P., Strata L.L.C., KKR
Associates (KLC) L.P., KKR-KLC, L.L.C., KKR Associates (NXS) L.P., KKR-NXS,
L.L.C., KKR Associates Europe, Limited Partnership, KKR Europe Limited, KKR
Associates Millennium L.P. and KKR Millennium GP LLC (including any
amendments or supplements to any reports, forms or schedules previously
filed by such persons or entities): (i) pursuant to Sections 13(d) and
16(a) of the Securities Exchange Act of 1934, as amended (the "Act"),
including without limitation, Schedule 13D, Schedule 13G, statements on
Form 3, Form 4 and Form 5 and (ii) in connection with any applications for
EDGAR access codes, including without limitation the Form ID.
/s/ Perry Golkin
_________________________________
Signature
Perry Golkin
_________________________________
Print Name
Date:
February 28, 2002
POWER OF ATTORNEY
Know all men by
these presents that Henry R. Kravis does hereby make, constitute and
appoint William J. Janetschek and Richard J. Kreider, or either one of
them, as a true and lawful attorney-in-fact of the undersigned with full
powers of substitution and revocation, for and in the name, place and stead
of the undersigned (both in the undersigned's individual capacity and as a
member of any limited liability company or limited partnership for which
the undersigned is otherwise authorized to sign), to execute and deliver
such forms as may be required to be filed from time to time with the
Securities and Exchange Commission with respect to any investments of KKR
Associates, L.P., KKR Associates 1996 L.P., KKR 1996 GP L.L.C., KKR
Associates II (1996) Limited Partnership, KKR 1996 Overseas, Limited, KKR
Associates (Strata) L.P., Strata L.L.C., KKR Associates (KLC) L.P.,
KKR-KLC, L.L.C., KKR Associates (NXS) L.P., KKR-NXS, L.L.C., KKR Associates
Europe, Limited Partnership, KKR Europe Limited, KKR Associates Millennium
L.P. and KKR Millennium GP LLC (including any amendments or supplements to
any reports, forms or schedules previously filed by such persons or
entities): (i) pursuant to Sections 13(d) and 16(a) of the Securities
Exchange Act of 1934, as amended (the "Act"), including without limitation,
Schedule 13D, Schedule 13G, statements on Form 3, Form 4 and Form 5 and
(ii) in connection with any applications for EDGAR access codes, including
without limitation the Form ID.
/s/ Henry R.
Kravis
_________________________________
Signature
Henry R. Kravis
_________________________________
Print Name
Date: February
28, 2002
POWER OF ATTORNEY
Know all men by these presents
that Paul E. Raether does hereby make, constitute and appoint William J.
Janetschek and Richard J. Kreider, or either one of them, as a true and
lawful attorney-in-fact of the undersigned with full powers of substitution
and revocation, for and in the name, place and stead of the undersigned
(both in the undersigned's individual capacity and as a member of any
limited liability company or limited partnership for which the undersigned
is otherwise authorized to sign), to execute and deliver such forms as may
be required to be filed from time to time with the Securities and Exchange
Commission with respect to any investments of KKR Associates, L.P., KKR
Associates 1996 L.P., KKR 1996 GP L.L.C., KKR Associates II (1996) Limited
Partnership, KKR 1996 Overseas, Limited, KKR Associates (Strata) L.P.,
Strata L.L.C., KKR Associates (KLC) L.P., KKR-KLC, L.L.C., KKR Associates
(NXS) L.P., KKR-NXS, L.L.C., KKR Associates Europe, Limited Partnership,
KKR Europe Limited, KKR Associates Millennium L.P. and KKR Millennium GP
LLC (including any amendments or supplements to any reports, forms or
schedules previously filed by such persons or entities): (i) pursuant to
Sections 13(d) and 16(a) of the Securities Exchange Act of 1934, as amended
(the "Act"), including without limitation, Schedule 13D, Schedule 13G,
statements on Form 3, Form 4 and Form 5 and (ii) in connection with any
applications for EDGAR access codes, including without limitation the Form
ID.
/s/ Paul E. Raether
_________________________________
Signature
Paul E. Raether
_________________________________
Print Name
Date: February 28, 2002
POWER OF
ATTORNEY
Know all men by these presents that Scott M. Stuart does
hereby make, constitute and appoint William J. Janetschek and Richard J.
Kreider, or either one of them, as a true and lawful attorney-in-fact of
the undersigned with full powers of substitution and revocation, for and in
the name, place and stead of the undersigned (both in the undersigned's
individual capacity and as a member of any limited liability company or
limited partnership for which the undersigned is otherwise authorized to
sign), to execute and deliver such forms as may be required to be filed
from time to time with the Securities and Exchange Commission with respect
to any investments of KKR Associates, L.P., KKR Associates 1996 L.P., KKR
1996 GP L.L.C., KKR Associates II (1996) Limited Partnership, KKR 1996
Overseas, Limited, KKR Associates (Strata) L.P., Strata L.L.C., KKR
Associates (KLC) L.P., KKR-KLC, L.L.C., KKR Associates (NXS) L.P., KKR-NXS,
L.L.C., KKR Associates Europe, Limited Partnership, KKR Europe Limited, KKR
Associates Millennium L.P. and KKR Millennium GP LLC (including any
amendments or supplements to any reports, forms or schedules previously
filed by such persons or entities): (i) pursuant to Sections 13(d) and
16(a) of the Securities Exchange Act of 1934, as amended (the "Act"),
including without limitation, Schedule 13D, Schedule 13G, statements on
Form 3, Form 4 and Form 5 and (ii) in connection with any applications for
EDGAR access codes, including without limitation the Form ID.
/s/ Scott M. Stuart
_________________________________
Signature
Scott M. Stuart
_________________________________
Print Name
Date: February 28, 2004