Keithley Instruments, Inc./Bartlett Form 4
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

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

o 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*
(Last, First, Middle)
2. Issuer Name and Ticker or
Trading Symbol
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  Bartlett, James T
  Keithley Instruments, Inc. KEI
 
  13515 Shaker Blvd
Apt. 8-B

4. Statement for (Month/Day/Year) 5. If Amendment, Date of Original (Month/Day/Year)
    March 10, 2003
 
  (Street) 6. Relationship of Reporting Person(s) to Issuer (Check All Applicable) 7. Individual or Joint/Group Filing
(Check Applicable Line)
  Cleveland, OH 44120
(City)                (State)           (Zip)
  x  Director o  10% Owner   x Form filed by One Reporting Person
    o  Officer (give title below)   o Form filed by More than One Reporting Person
    o  Other (specify below)  
       
     

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).
 

 


 


Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)
2. Transaction Date
(Month/Day/Year)
2a. Deemed Execution
Date, if any.

(Month/Day/Year)
3. Transaction Code
(Instr. 8)
4. Securities Acquired (A)
or Disposed of (D)

(Instr. 3, 4 and 5)
5. Amount of Securities
Beneficially Owned
Following Reported
Transactions(s)

(Instr. 3 and 4)
6. Ownership
Form:
Direct (D) or
Indirect (I)

(Instr. 4)
7. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

              Code V   Amount (A)
or
(D)
Price            

  Common Shares             -0-      

                     

                     

                     

                     

                     

                     

                   

                   

                   

Page 2


 


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)
2. Conversion or Exercise
Price of Derivative
Security
3. Transaction
Date

(Month/Day/Year)
3a. Deemed Execution
Date, if any

(Month/Day/Year)
4. Transaction
Code

(Instr. 8)
5. Number of Derivative Securities
Acquired (A) or Disposed of (D)

(Instr. 3, 4 and 5)

                      Code V   (A) (D)

  Common Stock Option   $17.78125     2/12/00      

  Common Stock Option   $36.85     2/17/01      

  Common Stock Option   $19.23     2/16/02      

  Common Stock Option   $10.70     2/15/03      

  Phantom Stock Units   $7.656     9/19/95      

  Phantom Stock Units   $7.938     12/14/95      

  Phantom Stock Units   $8.313     12/21/95      

  Phantom Stock Units   $7.50     2/22/96      

  Phantom Stock Units   $7.188     5/15/96      

  Phantom Stock Units   $4.563     9/11/96      

  Phantom Stock Units   $4.625     9/11/96      

  Phantom Stock Units   $5.00     12/12/96      

  Phantom Stock Units   $5.063     12/12/96      

  Phantom Stock Units   $4.625     2/21/97      

  Phantom Stock Units   $4.375     5/15/97      

  Phantom Stock Units   $5.438     7/23/97      

  Phantom Stock Units   $5.875     9/24/97      

  Phantom Stock Units   $5.9063     9/24/97      

  Phantom Stock Units   $5.00     12/9/97      

  Phantom Stock Units   $5.0625     12/9/97      

  Phantom Stock Units   $4.375     2/18/98      

  Phantom Stock Units   $4.063     5/6/98      

  Phantom Stock Units   $4.0938     5/6/98      

  Phantom Stock Units   $3.250     7/21/98      

  Phantom Stock Units   $3.313     7/21/98      

  Phantom Stock Units   $2.563     9/18/98      

  Phantom Stock Units   $2.5938     9/18/98      

  Phantom Stock Units   $2.469     10/23/98      

  Phantom Stock Units   $3.607     12/12/98      

  Phantom Stock Units   $3.8963     2/19/99      

  Phantom Stock Units   $4.0831     5/7/99      

  Phantom Stock Units   $4.2190     7/19/99      

  Phantom Stock Units   $7.00     9/14/99      

  Phantom Stock Units   $10.00     12/6/99      

  Phantom Stock Units   $10.71875     12/6/99      

  Phantom Stock Units   $17.5625     2/14/00      

  Phantom Stock Units   $30.3125     5/10/00      

  Phantom Stock Units   $55.8125     7/25/00      

  Phantom Stock Units   $64.00     9/13/00      

  Phantom Stock Units   $47.447     12/11/00      

  Phantom Stock Units   $31.70     2/21/01      

  Phantom Stock Units   $28.06     5/8/01      

  Phantom Stock Units   $18.510     7/23/01      

  Phantom Stock Units   $15.720     9/17/01      

  Phantom Stock Units   $17.100     12/10/01      

  Phantom Stock Units   $19.0971     2/20/02      

  Phantom Stock Units   $18.40     5/6/02      

  Phantom Stock Units   $14.310     7/22/02      

  Phantom Stock Units   $14.940     9/9/02      

  Phantom Stock Units   $12.4147     12/6/02      

  Phantom Stock Units   $11.25     2/18/03      

  Phantom Stock Units   $10.7573     3/10/03   A 234.85  

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Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned — Continued
(e.g., puts, calls, warrants, options, convertible securities)

6. Date Exercisable and
Expiration Date

(Month/Day/Year)
7. Title and Amount
of Underlying Securities

(Instr. 3 and 4)
8. Price of Derivative
Security

(Instr. 5)
9. Number of Derivative
Securities Beneficially Owned
Following Reported Transaction(s)

(Instr. 4)
10. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 4)
11. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

  Date
Exercisable
Expiration
Date
  Title Amount or
Number of
Shares
                       

  8/13/00 2/12/10   Common Stk 10,000   $ -       10,000     D  

  8/18/01 2/17/11   Common Stk 10,000   $ -       10,000     D  

  8/17/02 2/16/12   Common Stk 10,000   $ -       10,000     D  

  8/16/03 2/15/13   Common Stk 10,000   $ -       10,000     D  

  9/30/02 (1)   Common Stk 549.18   $ -       549.18     D  

  9/30/02 (1)   Common Stk 723.04   $ -       723.04     D  

  9/30/02 (1)   Common Stk 22.36   $ -       22.36     D  

  9/30/02 (1)   Common Stk 570.72   $ -       570.72     D  

  1/1/02 (1)   Common Stk 822.72   $ -       822.72     D  

  1/1/02 (1)   Common Stk 507.50   $ -       507.50     D  

  1/1/02 (1)   Common Stk 776.54   $ -       776.54     D  

  1/1/02 (1)   Common Stk 375.64   $ -       375.64     D  

  1/1/02 (1)   Common Stk 810.04   $ -       810.04     D  

  1/1/02 (1)   Common Stk 660.32   $ -       660.32     D  

  1/1/02 (1)   Common Stk 819.10   $ -       819.10     D  

  1/1/02 (1)   Common Stk 902.08   $ -       902.08     D  

  1/1/02 (1)   Common Stk 232.98   $ -       232.98     D  

  1/1/02 (1)   Common Stk 376.94   $ -       376.94     D  

  1/1/02 (1)   Common Stk 195.26   $ -       195.26     D  

  1/1/02 (1)   Common Stk 766.88   $ -       766.88     D  

  1/2/03 (1)   Common Stk 488.26   $ -       488.26     D  

  1/2/03 (1)   Common Stk 189.08   $ -       189.08     D  

  1/2/03 (1)   Common Stk 706.82   $ -       706.82     D  

  1/2/03 (1)   Common Stk 162.42   $ -       162.42     D  

  1/2/03 (1)   Common Stk 984.22   $ -       984.22     D  

  1/2/03 (1)   Common Stk 372.62   $ -       372.62     D  

  1/2/03 (1)   Common Stk 1027.78   $ -       1027.78     D  

  1/2/03 (1)   Common Stk 473.44   $ -       473.44     D  

  1/2/03 (1)   Common Stk 1301.78   $ -       1301.78     D  

  1/2/03 (1)   Common Stk 589.80   $ -       589.80     D  

  1/2/03 (1)   Common Stk 936.44   $ -       936.44     D  

  1/2/03 (1)   Common Stk 1184.68   $ -       1184.68     D  

  1/2/03 (1)   Common Stk 290.84   $ -       290.84     D  

  1/2/03 (1)   Common Stk 511.72   $ -       511.72     D  

  1/2/03 (1)   Common Stk 1298.00   $ -       1298.00     D  

  1/2/03 (1)   Common Stk 230.46   $ -       230.46     D  

  1/2/03 (1)   Common Stk 136.56   $ -       136.56     D  

  1/2/03 (1)   Common Stk 94.37   $ -       94.37     D  

  1/2/03 (1)   Common Stk 31.25   $ -       31.25     D  

  1/2/03 (1)   Common Stk 54.68   $ -       54.68     D  

  1/2/06 (1)   Common Stk 130.12   $ -       130.12     D  

  1/2/06 (1)   Common Stk 154.75   $ -       154.75     D  

  1/2/06 (1)   Common Stk 234.55   $ -       234.55     D  

  1/2/06 (1)   Common Stk 227.21   $ -       227.21     D  

  1/2/06 (1)   Common Stk 321.89   $ -       321.89     D  

  1/2/07 (1)   Common Stk 237.25   $ -       237.25     D  

  1/2/07 (1)   Common Stk 155.68   $ -       155.68     D  

  1/2/07 (1)   Common Stk 405.54   $ -       405.54     D  

  1/2/07 (1)   Common Stk 243.77   $ -       243.77     D  

  1/2/07 (1)   Common Stk 470.00   $ -       470.00     D  

  1/2/08 (1)   Common Stk 525.94   $ -       525.94     D  

  1/2/08 (1)   Common Stk 234.85   $ -       234.85     D  

Explanation of Responses:

(1) The phantom stock units were accrued under the Keithley Instruments, Inc. Deferred Stock Plan and are to be settled in common stock to the reporting person on the exercisable date or upon retirement from the board whichever occurs later.

Mark J. Plush, Attorney-in-Fact   3/10/03

**Signature of Reporting Person
 
Date


**   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.
 

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