UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB Number: 3235-0287
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FORM 4
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 5 obligations
may continue. See Instruction 1(b).
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Roth, William G.
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(Last) (First) (Middle)
7887 Washington Village Drive
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(Street)
Dayton, OH 45459
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Amcast Industrial Corporation (AIZ)
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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
January 2, 2003
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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
[ ] 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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2A. 4. Securities
Deemed Acquired(A)
2. Execution 3. or Disposed(D) 5.
Transaction Date, Transaction (Instr.3, 4 & 5) Amount of Securities 6. Ownership 7. Nature of
Date if any Code ------------------ Beneficially Owned Form: Direct Indirect
1. (Month/ (Month/ (Instr. 8) (A) Following Reported (D) or Beneficial
Title of Security Day/ Day/ ----------- or Transaction(s) Indirect (I) Ownership
(Instr. 3) Year) Year) Code V Amount (D) Price (Instr. 3 & 4) (Instr. 4) (Instr. 4)
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Common Shares 1/2/2003 1/2/2003 A 9,142 A (1)
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Common Shares 1/2/2003 1/2/2003 A 200 A (2) 41,658 D
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8,167 I By Wife
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2,666 I By trusts
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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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5.
Number of
Derivative
Securities
Acquired(A) 6.
2. 3A. 4. or Disposed Date Exercisable and
1. Conversion 3. Deemed Transaction of (D) Expiration Date
Title of or Exercise Transaction Execution Code (Instr. 3 (Month/Day/Year)
Derivative Price of Date Date, if (Instr. 8) 4, and 5) ----------------------
Security Derivative (Month/Day/ any (Month/ ----------- ----------- Date Expiration
(Instr. 3) Security Year) Day/Year) Code V (A) (D) Exercisable Date
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Stock Option
(Right to Buy) $1.755 1/2/2003 1/2/2003 A 1,500 1/2/2004 1/1/2008
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7.
Title and
Amount of 9. 10.
Underlying Number of Ownership
Securities Derivative Form of
(Instr.3 and 4) Securities Derivative
---------------------- Beneficially Security 11.
Amount 8. Owned Direct (D) Nature of
or Price of Following or Indirect
Number Derivative Reported Indirect Beneficial
of Security Transaction(s) (I) Ownership
Title Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
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Common Shares 1,500 1,500 D
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Explanation of responses:
(1) Represents payment of yearly director stipend in shares of Amcast
Industrial Corporation stock rather than cash.
(2) Represents additional director compensation granted by Company in
restricted stock rather than cash.
/s/ William G. Roth, by Sandra L. Rawnsley,
Attorney-in-Fact under POA filed herewith 1/3/03
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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.
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.