Form 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |
OMB APPROVAL |
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OMB Number: 3235-0287 |
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Expires: December 31, 2001 |
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Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b). |
Estimated average burden |
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Form 3 Holdings Reported |
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Form 4 Holdings Reported |
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1. Name and Address of Reporting Person* Chandler, III A. Russell |
2. Issuer Name and Ticker or Trading Symbol Miller Industries, Inc. (MLR) |
6. Relationship of Reporting Person(s) to Issuer
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(Last) (First) (Middle) 8503 Hilltop Drive |
3. I.R.S. Identification Number of Reporting Person,
if an entity voluntary) |
4. Statement for Month/Year 2001 |
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(Street) Ooltewah, TN 37363 |
5. If Amendment, Date of Original (Month/Year) 2/2002 |
7. Individual or Joint/Group Filing |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Transaction Date |
3. Transaction |
4. Securities Acquired (A) or Disposed of (D) |
5. Amount of Securities Beneficially Owned at End of Issuer's Fiscal Year |
6. Owner- |
7. Nature of Indirect Beneficial Ownership |
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Amount |
(A) or (D) |
Price |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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Potential persons who are to 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. |
(Over) |
FORM 5 (continued) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative Security |
2. Conversion or |
3. Transaction |
4. Transaction Code |
5. Number of Derivative |
6. Date Exercisable |
7. Title and Amount of |
8. Price of |
9.Number of |
10. Ownership |
11. Nature of |
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(A) |
(D) |
Date |
Expiration |
Title |
Amount |
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Stock Options |
$4.61 |
9/25/01 |
A |
12,200 |
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(1) |
6/24/11 |
Common Stock |
12,200 |
8,000 |
D |
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Explanation of Responses: (1) Options vest in two equal installments of 6,100 options on 3/25/2002 and 3/25/2003. |
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
A. Russell Chandler , IIIBy: /s/ Frank Madonia **Signature of Reporting Person |
2-14-02
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Note: |
File three copies of this Form, one of which must be manually signed. |
Potential persons who are to respond to the collection of information contained in this form are not |
Page 2 |
MILLER INDUSTRIES, INC.
Confirming Statement
This statement confirms that the undersigned authorized and designated Frank Madonia to execute and file on the undersigneds behalf the Form 5 on February 14, 2002 that the undersigned was required to file with the U.S. Securities and Exchange Commission as a result of the undersigneds transactions in securities of Miller Industries, Inc. The undersigned acknowledges that Frank Madonia did not assume any of the undersigneds responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
Name |
Title |
Date |
_/s/ A. Russell Chandler III |
Director |
2/19/02 |