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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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*
GLASS ALAN J

(Last) (First) (Middle)

(Street)

(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)
Director 10% Owner
X Officer (give title below) Other (specify below)
General Counsel & Asst. Sec.
3. Date of Earliest Transaction (Month/Day/Year)
12/10/2004
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(4) 12/10/2004 M(3) 4,500 A $13.938 5,300 D
common stock(4) 12/10/2004 S(3) 4,500 D $22 800 D
common stock(4) 12/10/2004 S 800 A $22 0 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
Stock Option--Right to Buy(4) $13.938 12/10/2004 M 4,500(3) (1) 02/21/2010 common stock 4,500 (2) 1,600 D
Explanation of Responses:
1. The stock options exercised by the reporting person and reported in this filing were granted by the issuer on February 21, 2000. On this date, the reporting person received 8000 stock options which were performance accelerated stock options whose vesting depended upon the attainment of certain appreciation in the issuer's common stock price. As a result of the attainment of this appreciation, these options vested and became exercisable in one-fifth increments (1600 shares per increment) on each successive year after the date of grant. After accounting for the transactions reported herein, 1600 options of the initial 8000 option grant remain outstanding--thes remaining options vest on Febrary 21, 2005.
2. The stock options were issued by the issuer to the reporting person and convert into shares of common stock on a one-for-one basis.
3. The conversion of 4500 options reported herein and the subsequent sale of the underlying common stock reflects the cashless exercise by the reporting person of stock options pursuant to the terms of a pre-programmed plan entered into by the reporting person under Rule 10b5-1.
4. All transaction reported in this Form 4 consist of transactions executed on behalf of the reporting person pursuant to the terms of a pre-programmed plan under Rule 10b5-1.
Alan J. Glass 12/10/2004
** 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).
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