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FORM 4 OMB APPROVAL
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OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response ....... 0.5
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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,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Hansen Frank J.
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(Last) (First) (Middle)
Gardner Denver, Inc.
1800 Gardner Expressway
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(Street)
Quincy, IL 62301
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(City) (State) (Zip)
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2. Issuer Name AND Ticker or Trading Symbol
Gardner Denver, Inc. (GDI)
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
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4. Statement for Month/Day/Year
December 31, 2002
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ X ] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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Form filed by More than One Reporting Person
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
2A. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Deemed Code ------------------------------- Owned Following (D) or Indirect
1. Transaction Execution (Instr. 8) (A) Reported Indirect Beneficial
Title of Security Date Date, if any ------------ Amount or Price Transaction(s) (I) Ownership
(Instr. 3) (Month/ (Month/ Code V (D) (Instr. 3 (Instr. 4)(Instr. 4)
Day/Year) Day/Year) and 4)
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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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9.
Number of 10.
Deriv- Owner-
2. ative ship
Conver- 5. 7. Secu- Form of 11.
sion Number of Title and Amount rities Deriv- Nature
or 3A. Derivative 6. of Underlying 8. Bene- ative of
Exer- Deemed 4. Securities Date Securities Price ficially Secu- In-
cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned rities: direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- Following Direct Bene-
1. of action Date, Code of (D) (Month/Day/Year) Amount ative Reported (D) or ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secu- Trans- Indirect Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number rity action(s) (I) ship
Security Secu- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) rity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Phantom Stk Units 1-for 1 12/31/02 A 36.9 (1) (1) Common Stk 36.9 15.83 36.9 (D)
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Explanation of Responses:
(1) The cash value of these units will be distributed to the director or
beneficiary on the first day of the month following the date upon which
the director ceases to be a director of the Company for any reason, (or
in no more than twelve installments beginning on the aforementioned date)
pursuant to the Company's Phantom Stock Plan for Outside Directors (the
"Phantom Plan").
/s/ Frank J. Hansen January 2, 2003
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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.