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The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 (the "Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. |
CUSIP NO. 602720 10 4 |
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1. |
Names of Reporting Persons, I.R.S. Identification Nos. of Above Persons (entities only) William M. Lambert |
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2. |
Check the Appropriate Box if a Member of a Group (See Instructions) (a) ¨ (b) x |
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3. |
SEC Use Only |
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4. |
Source of Funds (See Instructions) 00 |
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5. |
Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) |
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6. |
Citizenship or Place of Organization U.S.A. |
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Number of Shares Beneficially Owned By Each Reporting Person With |
7. Sole Voting Power 47,388 8. Shared Voting Power 69,231 9. Sole Dispositive Power
47,388 10. Shared
Dispositive Power
1,016,500 |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person 1,133,119 |
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12. |
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) |
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13. |
Percent of Class Represented by Amount in Row (11) 8.3% |
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14. |
Type of Reporting Person (See Instructions) IN |
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(a) |
Name of Person Filing: |
William M. Lambert | ||
(b) |
Residence or Business Address: |
Mine Safety Appliances Company P.O. Box 426 Pittsburgh, PA 15230 |
(c) |
Present Principal Occupation: President, MSA North America |
(d) |
During the last five years, the undersigned has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors).
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(e) |
During the last five years, the undersigned was not a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of
which the undersigned was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.
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(f) |
Citizenship: U.S.A. |
(a) |
The acquisition by any person of additional securities of the Company or the disposition of securities of the Company; |
(b) |
An extraordinary corporate transaction, such as a merger, reorganization or liquidation, involving the Company or any of its subsidiaries;
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(c) |
A sale or transfer of a material amount of assets of the Company or any of its subsidiaries; |
(d) |
Any change in the present board of directors or management of the Company, including any plans or proposals to change the number or term of directors or to fill
any existing vacancies on the board; |
(e) |
Any material change in the present capitalization or dividend policy of the Company; |
(f) |
Any other material change in the Companys business or corporate structure; |
(g) |
Changes in the Companys charter, bylaws or instruments corresponding thereto or other actions which may impede the acquisition of control of the Company
by any person; |
(h) |
Causing a class of securities of the Company to be delisted from a national securities exchange or to cease to be authorized to be quoted in an inter-dealer
quotation system of a registered national securities association; |
(i) |
A class of equity securities of the Company becoming eligible for termination of registration pursuant to Section 12(g)(4) of the Securities Exchange Act of
1934; or |
(j) |
Any action similar to any of those enumerated above. |
(a) |
The undersigned beneficially owns (as defined in Rule 13d-3) 1,133,119 shares of Common Stock, or approximately 8.3% of the outstanding shares based on the
13,591,658 shares of Common Stock outstanding at December 31, 2002. For this purpose, shares outstanding at December 31, 2002 includes 1,384,629 shares held by the Companys Stock Compensation Trust. |
(b) |
The undersigned has sole voting and dispositive power over 47,388 shares of Common Stock, including 36,520 shares which the undersigned has the right to acquire
under stock options granted to him under the Companys Management Share Incentive Plan (MSIP). Of such shares, 3,500 are restricted shares granted to the undersigned under the MSIP which are presently restricted as to disposition.
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(c) |
The undersigned became a beneficial owner, as defined in Rule 13d-3, of more than 5% of the Common Stock as a result of his appointment to the Investment
Committee for the Trust for the Companys Non-Contributory Pension Plan for Employees on January 1, 2003. There have been no transactions in Common Stock effected by the undersigned since at least 60 days prior to that date.
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(d) |
Receipt of dividends or proceeds from the sale of the 1,016,500 shares of Common Stock held by the Trust for the Companys Non-Contributory Pension Plan
for Employees is for the benefit of the beneficiaries of the Plan. No beneficiary of the Plan presently has an interest in such dividends or proceeds amounting to more than 5% of the outstanding shares of Common Stock. Under the terms of the
Companys Stock Compensation Trust, dividends on the shares of Common Stock held by the Trust are used to repay the loan from the Company which financed the purchase of the shares. |
(e) |
Not applicable. |
/s/ William M. Lambert |
William M. Lambert |