SEC Form 5
FORM 5
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL
Form 3 Holdings Reported.
OWNERSHIP
Form 4 Transactions Reported.
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person*
2. Issuer Name and Ticker or Trading Symbol
LITTELFUSE INC /DE [ LFUS ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
(Last)
(First)
(Middle)
06/09/2017
X
Director | 10% Owner |
Officer (give title | Other (specify |
below) | below) |
8755 W. HIGGINS ROAD SUITE 500
SVP & GM - Industrial
4. If Amendment, Date of Original Filed (Month/Day/Year)
01/12/2018
6. Individual or Joint/Group Filing (Check Applicable Line)
(Street)
X
Form filed by One Reporting Person
CHICAGOIL
60631
Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Explanation of Responses:
1. The total number of shares gifted pursuant to this transaction is being amended from 150 to 225 as 75 shares were inadvertently omitted on the original Form 5.
02/11/2019
Hans Weinburger, by power of attorney ** 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.
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Littelfuse Inc. published this content on 11 February 2019 and is solely responsible for the information contained herein. Distributed by Public, unedited and unaltered, on 11 February 2019 16:09:03 UTC