UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who 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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class B Common Stock | Â (2) | Â (3) | Class A Common Stock | 9,800 (4) | $ (5) | I | By trust (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MERLOTTI FRANK H JR STEELCASE INC. 901 44TH STREET, S.E. GRAND RAPIDS, MI 49508 |
 |  |  Pres., Steelcase North America |  |
Mary K. Aune, by power of attorney | 10/08/2004 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Represents shares held by a revocable trust by Mr. Merlotti and his wife of which they serve as co-trustees. |
(2) | Immediately convertible. |
(3) | Not applicable. |
(4) | This amendment is being filed to correct the number of shares reported. An additional 11,900 shares were previously reported in error. |
(5) | Shares of Class B Common Stock are convertible into shares of Class A Common Stock on a 1-for-1 basis. |
(6) | Represents shares held by trusts for the benefit of Mr. Merlotti's family members, of which Mr. Merlotti serves as trustee. |