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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION STATEMENT OF
CHANGES IN BENEFICIAL OWNERSHIP |
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OMB Number: 3235-0287 | |||
Expires: January 31, 2005 | |||
[ ] | Check
box if no longer subject to Section 16. Form 4 or Form 5 obligations may
continue. See instructions 1(b). |
Estimated
average burden hours per response. . . 0.5 |
1.
Name and Address of Reporting Person* Meinkoth, Richard K. |
2.
Issuer Name and Ticker or Trading Symbol Katy Industries, Inc. (KT) |
6. Relationship of Reporting Person(s) to Issuer ___ Director ___ 10% Owner _X_ Officer (give title below) ___ Other (specify below) |
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c/o Katy Industries, Inc. 765 Straits Turnpike, Suite 2000 |
3.
I.R.S. Identification Number of Reporting Person, if an entity (voluntary) |
4.
Statement for Month/Day/Year 11/25/2002 |
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Middlebury, CT 06762 |
5.
If Amendment, Date of Original (Month/Day/Year) |
7.
Individual or Joint/Group Filing (Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person |
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(City) (State) (Zip) | 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 Transactions (Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | Amount | (A) or (D) |
Price | ||||||
Common Stock | 400 | D |
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 Instructions 4(b)(v). |
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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) SEC 1474 (9-02) |
FORM 4 (continued) |
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 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 |
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Common Stock Options | 1,600 | D | |||||||||||||
Stock Appreciation Rights | $3.11 | 11/25/2002 | 11/25/2002 | J See Note 1 | 3,166 | 11/25/2003 | 11/25/2012 | Common Stock | 3,166 | $3.11 | 3,166 | D | |||
Stock Appreciation Rights | $3.11 | 11/25/2002 | 11/25/2002 | J See Note 1 | 3,167 | 11/25/2004 | 11/25/2012 | Common Stock | 3,167 | $3.11 | 3,167 | D | |||
Stock Appreciation Rights | $3.11 | 11/25/2002 | 11/25/2002 | J See Note 1 | 3,167 | 11/25/2005 | 11/25/2012 | Common Stock | 3,167 | $3.11 | 3,167 | D |
Explanation of Responses: 1. J - Award of Stock Appreciation Rights, vested ratably over three years. 2. Pursuant to power of attorney dated October 15, 2002 |
** | Intentional
misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
/s/ Richard K. Meinkoth
**Signature of Reporting Person Richard K. Meinkoth (2) |
11/27/2002
Date |
Note: | File three
copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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 Number. |
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