SEC FORM
4
SEC Form 4
| FORM 4 |
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
or Section 30(h) of the Investment Company Act of 1940
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3235-0287 |
| Expires: |
December 31, 2014 |
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0.5 |
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 |
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
JOHNSON OUTDOORS INC
[ JOUT ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
X |
10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| Chairman and CEO |
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3. Date of Earliest Transaction
(Month/Day/Year)
07/08/2003
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. 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 |
|---|
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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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Option (right to buy)
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13.04 |
07/08/2003 |
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P |
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485,000 |
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07/08/2003 |
01/07/2005 |
Class A Common Stock |
485,000 |
$2.31
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485,000 |
D |
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| Explanation of Responses: |
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|
Linda L. Sturino, attorney-in-fact |
07/09/2003 |
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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. |
| 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 Number. |
DURABLE POWER OF ATTORNEY
OF
HELEN P. JOHNSON-LEIPOLD
In accordance with the Uniform Durable Power of Attorney Act, Section
243.07 of the Statutes of the State of Wisconsin, I, Helen P. Johnson-Leipold, a
resident of Racine County, Wisconsin, as principal, hereby appoint each of Jane
M. Hutterly, John H. Anderson, Linda L. Sturino or Brian S. Kult, of Racine,
Wisconsin, as my Agent to perform in my name any of the following powers as
he/she shall determine to be necessary.
. . .
4. Investments
a. To invest and reinvest my property in stocks, bonds, or other
securities; to sell and transfer my securities or other assets; and to make
other investments and establish accounts. (Any transfer agent or corporate
secretary shall conclusively presume that my Agent has the authority
given.)
b. To vote at the meetings of any corporation and otherwise to act as
my proxy or representative, in respect to any shares now held, or which may
hereafter be acquired by me in any corporation and for that purpose to sign
and execute any proxies or other instrument in my name and on my behalf.
. . .
9. Effect of Disability
This Durable Power of Attorney shall remain in full force and effect until
and unless I personally revoke it in a written notice delivered to my Agent. My
subsequent physical or mental disability, incapacity or incompetence shall not
affect this Durable Power or diminish the authority of my Agent.
10. Proof of Continuance of This Durable Power of Attorney
Each governmental agency or department, person, partnership, corporation,
or other legal entity relying upon or acting upon this instrument shall be
entitled to conclusively presume that this instrument is in full force and
effect unless written notice shall have been given by the undersigned to such
governmental agency or department, person, partnership, corporation, or other
legal entity that this instrument has been revoked. An affidavit executed by my
Agent stating that she/he did not have (at the time of exercising the power)
actual knowledge of the termination of the power or of my death is conclusive
proof of the non-revocation or non-termination of the power at that time.
11. Copies of Power of Attorney
A true copy of this power of attorney, whether in facsimile form or
otherwise, shall be as legally valid as the original.
12. Revocation of Prior Powers of Attorney
This instrument revokes all prior powers of attorney executed by me
effective the date of this instrument.
I hereby ratify and confirm all that my Agent or any substitute or
alternate Agent shall do in reliance on this Durable Power of Attorney.
Dated: April 17, 2000
/s/ Helen P. Johnson-Leipold
------------------------------
Helen P. Johnson-Leipold
ACKNOWLEDGMENT
STATE OF WISCONSIN )
) SS
COUNTY OF RACINE )
Personally came before me this 17th day of April, 2000, the above-named
Helen P. Johnson-Leipold, to me known to be the person who executed the
foregoing instrument and acknowledged the same.
/s/ Joyce A. Onosko
------------------------------
Notary Public, State of Wisconsin
My commission expires: 3/9/03
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CONSENT OF AGENTS
The undersigned agree to act as Agent for the foregoing-named principal.
/s/ Jane M. Hutterly /s/ John H. Anderson
- ---------------------------------- ----------------------------------
Jane M. Hutterly John H. Anderson
/s/ Linda L. Sturino /s/ Brian S. Kult
- ---------------------------------- ----------------------------------
Linda L. Sturino Brian S. Kult
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