Statement of Changes in Beneficial Ownership (4)
September 17 2013 - 12:15PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
LAUER ALLEN J
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2. Issuer Name
and
Ticker or Trading Symbol
Intermec, Inc.
[
IN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Interim CEO
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(Last)
(First)
(Middle)
C/O INTERMEC, INC., 6001 36TH AVE. WEST
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3. Date of Earliest Transaction
(MM/DD/YYYY)
9/17/2013
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(Street)
EVERETT, WA 98203-1264
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. 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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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. 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
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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9/17/2013
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D
(1)
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11189
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D
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$10.00
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0
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D
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Common Stock
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9/17/2013
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D
(1)
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1000
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D
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$10.00
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0
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I
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By Trust
(2)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. 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
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (right to buy)
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$5.26
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9/17/2013
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D
(3)
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25000
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2/7/2004
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(4)
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Common Stock
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25000
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$4.74
(5)
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0
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D
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Stock Option (right to buy)
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$7.9150
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9/17/2013
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D
(3)
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2500
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5/9/2004
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(4)
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Common Stock
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2500
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$2.085
(5)
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0
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D
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Phantom Stock Units
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(6)
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9/17/2013
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D
(6)
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74521
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(6)
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(6)
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Common Stock
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74521
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(6)
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0
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D
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Restricted Deferred Stock Units
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(6)
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9/17/2013
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D
(6)
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24462
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(6)
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(6)
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Common Stock
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24462
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(6)
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0
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D
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Explanation of Responses:
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(
1)
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Disposed of pursuant to the agreement and plan of merger ("Merger Agreement"), dated as of December 9, 2012, by and among the issuer, Honeywell International Inc. ("Honeywell") and Hawkeye Merger Sub Corp., a wholly owned subsidiary of Honeywell, pursuant to which the outstanding shares of the issuer's common stock were converted into the right to receive $10.00 per share in cash, without interest.
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(
2)
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The Lauer Family Trust, dtd 4/29/91, is a grantor revocable trust.
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(
3)
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Disposed of pursuant to the Merger Agreement.
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(
4)
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The option expires three years after the reporting person ceases to be a director.
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(
5)
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Pursuant to the Merger Agreement, as of the effective time of the merger, the option was cancelled in exchange for the merger consideration of $10.00 per share less the per share exercise price. Options held by the reporting person with exercise prices greater than $10.00 per share were cancelled without the payment of any consideration therefor. The disposition of such options is not reported.
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(
6)
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Each phantom stock unit and restricted deferred stock unit represents the economic equivalent of one share of issuer common stock. The units are deferred under the Intermec Director Deferred Compensation Plan and become payable in shares of issuer common stock in the month of January following the year in which the reporting person terminates services as a director (or in subsequent years in the event of future deferral elections) or following a change of control of the issuer. Pursuant to the Merger Agreement, each unit was cancelled in exchange for payment of the merger consideration of $10.00 per share.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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LAUER ALLEN J
C/O INTERMEC, INC.
6001 36TH AVE. WEST
EVERETT, WA 98203-1264
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X
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Interim CEO
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Signatures
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/s/ Nancy Gallup, attorney-in-fact
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9/17/2013
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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