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
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
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*
BLOSS DAVID A SR

(Last) (First) (Middle)
25 CORPORATE DRIVE
STE. 130

(Street)
BURLINGTON MA 03063

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CIRCOR INTERNATIONAL INC [ CIR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/02/2008
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK 09/02/2008 M 1,679 A (1) 1,679 D
COMMON STOCK 09/02/2008 F 677 D (1) 1,002 D
COMMON STOCK 09/02/2008 M 38,260 A (2) 39,262 D
COMMON STOCK 09/02/2008 F 15,601 D (2) 23,661 D
COMMON STOCK 09/02/2008 M 23,097 A (3) 46,758 D
COMMON STOCK 09/02/2008 F 9,419 D (3) 37,339 D
COMMON STOCK 09/02/2008 M 19,757 A (4) 57,096 D
COMMON STOCK 09/02/2008 F 8,057 D (4) 49,039 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
RESTRICTED STOCK UNITS (1) 09/02/2008 M 1,679 (1) (1) COMMON STOCK 1,679 (1) 0 D
RESTRICTED STOCK UNITS (2) 09/02/2008 M 38,260 (2) (2) COMMON STOCK 38,260 (2) 0 D
RESTRICTED STOCK UNITS (3) 09/02/2008 M 23,097 (3) (3) COMMON STOCK 23,097 (3) 0 D
RESTRICTED STOCK UNITS (4) 09/02/2008 M 19,757 (4) (4) COMMON STOCK 19,757 (4) 0 D
Explanation of Responses:
1. The Restricted Stock Units (RSU), the conversion of which is reported herein, were issued to the Reporting Person by the issuer pursuant to the provisions of its Management Stock Purchase Plan on 2/18/2005. On that date, the fair market value (FMV) of the issuers stock was $24.90. The RSU generally vest in 3 years after grant unless the executive previously elected a longer deferral period. This report reflects the accelerated vesting of the remaining RSU, acquisition of those underlying shares in whole units by the Reporting Person and withholding of sufficient shares to pay applicable income taxes in accordance with the provisions of the Amended and Restated Retirement Agreement between the Reporting Person and the Company. The FMV of the shares, based on the closing price of the issuers stock on 08/29/2008 (last business day prior to the shares vesting) is $59.30.
2. The Restricted Stock Units (RSU), the conversion of which is reported herein, were issued to the Reporting Person by the issuer pursuant to the provisions of its Management Stock Purchase Plan on 2/27/2006. On that date, the fair market value (FMV) of the issuers stock was $27.81. The RSU generally vest in 3 years after grant unless the executive previously elected a longer deferral period. This report reflects the accelerated vesting of the remaining RSU, acquisition of those underlying shares in whole units by the Reporting Person and withholding of sufficient shares to pay applicable income taxes in accordance with the provisions of the Amended and Restated Retirement Agreement between the Reporting Person and the Company. The FMV of the shares, based on the closing price of the issuers stock on 08/29/2008 (last business day prior to the shares vesting) is $59.30.
3. The Restricted Stock Units (RSU), the conversion of which is reported herein, were issued to the Reporting Person by the issuer pursuant to the provisions of its Management Stock Purchase Plan on 02/26/2007. On that date, the fair market value (FMV) of the issuers stock was $36.23. The RSU generally vest in 3 years after grant unless the executive previously elected a longer deferral period. This report reflects the accelerated vesting of the remaining RSU, acquisition of those underlying shares in whole units by the Reporting Person and withholding of sufficient shares to pay applicable income taxes in accordance with the provisions of the Amended and Restated Retirement Agreement between the Reporting Person and the Company. The FMV of the shares, based on the closing price of the issuers stock on 08/29/2008 (last business day prior to the shares vesting) is $59.30.
4. The Restricted Stock Units (RSU), the conversion of which is reported herein, were issued to the Reporting Person by the issuer pursuant to the provisions of its Management Stock Purchase Plan on 02/26/2008. On that date, the fair market value (FMV) of the issuers stock was $48.66. The RSU generally vest in 3 years after grant unless the executive previously elected a longer deferral period. This report reflects the accelerated vesting of the remaining RSU, acquisition of those underlying shares in whole units by the Reporting Person and withholding of sufficient shares to pay applicable income taxes in accordance with the provisions of the Amended and Restated Retirement Agreement between the Reporting Person and the Company. The FMV of the shares, based on the closing price of the issuers stock on 08/29/2008 (last business day prior to the shares vesting) is $59.30.
Alan J. Glass, Attorney-in-Fact 09/04/2008
** 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.