Form 4 |
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION STATEMENT OF CHANGES IN
BENEFICIAL OWNERSHIP |
OMB APPROVAL |
||||||||||||||
OMB Number: 3235-0287 |
||||||||||||||||
Expires: January 31, 2005 |
||||||||||||||||
[ ] |
Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b). |
Estimated average burden |
||||||||||||||
1. Name and Address of
Reporting Person* |
2. Issuer Name and Ticker
or Trading Symbol |
6. Relationship of
Reporting Person(s) to Issuer ______________________ |
||||||||||||||
(Last) (First) (Middle)
|
3. I.R.S. Identification Number of Reporting Person, if an entity |
4. Statement for
Month/Day/Year |
||||||||||||||
(Street)
|
5. If Amendment, Date of
Original (Month/Day/Year) |
7. Individual or
Joint/Group Filing |
||||||||||||||
(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|||||||||||||||
1. Title of Security |
2. Transaction Date |
2A. Deemed Execution |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of Securities |
6. Ownership Form: |
7. Nature of Indirect |
|||||||||
Code |
V |
Amount |
(A) |
Price |
||||||||||||
Collins Industries, Inc. Common Stock |
03/12/2003 |
|
A |
|
350 |
A |
$3.590 |
117,300 |
I |
Spouse |
||||||
|
|
|
|
|
|
|
|
88,400 |
D |
Self |
||||||
Reminder: Report on a
separate line for each class of securities beneficially owned directly or
indirectly. |
||||||||||||||||
Potential persons who are
to respond to the collection of information contained in this form are not |
(Over) |
|||||||||||||||
Table II - Derivative
Securities Acquired, Disposed of, or Beneficially Owned |
|||||||||||||||
1. |
2. |
3. |
3A. |
4. |
5. |
6. |
7. |
8. |
9. |
10. |
11. |
||||
Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount |
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Explanation of Responses: |
||||
** |
Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. |
/s/ Larry W. Sayre, Attorney in Fact for Don S. Peters under a Limited Power of Attorney dated March 5, 1997 **Signature of Reporting Person |
03/14/03
Date |
|
Note: |
File three copies of this
Form, one of which must be manually signed. |
|||
Potential persons who are
to respond to the collection of information contained in this form are not |
Page 2 |
|||