SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/24/2005
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3. Issuer Name and Ticker or Trading Symbol
LEAR CORP
[ LEA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
VP of Global Finance |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units |
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Common Stock |
3,368.39 |
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D |
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Restricted Stock Units |
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Common Stock |
2,553.32 |
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D |
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Restricted Stock Units |
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Common Stock |
2,618.49 |
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D |
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Restricted Stock Units |
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Common Stock |
2,800 |
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D |
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Restricted Stock Units |
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Common Stock |
5,050 |
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D |
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Restricted Stock Units |
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Common Stock |
2,310 |
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D |
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Stock Appreciation Right |
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12/02/2012 |
Common Stock |
14,070 |
27.53 |
D |
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Option (Right to Buy) |
06/14/2005 |
06/14/2012 |
Common Stock |
7,500 |
41.83 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ Karen Rosbury, as attorney-in-fact |
03/03/2005 |
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** 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
5
(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. |
POWER OF ATTORNEY
Know all men by these presents, that the
undersigned hereby constitutes and appoints each of Daniel A. Ninivaggi,
Daniel G. Gordon, Laurie M. Harlow, Karen M. Rosbury, Bruce A. Toth,
Elizabeth A. Nemeth, Erik B. Lundgren, Maria C. Guiao and Mary Mooney
signing singly, the undersigned’s true and lawful attorney-in-fact
to:
1. execute for and on behalf of the undersigned, in the
undersigned’s capacity as an officer and/or director of Lear
Corporation (the "Company"), (i) Forms 3, 4, 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934, as amended, and the rules
thereunder, and (ii) Forms 144 in accordance with the Securities Act of
1933, as amended, and the rules thereunder;
2. do and perform any
and
all acts for and on behalf of the undersigned which may be necessary
or
desirable to complete and execute any such Form 3, 4, 5 or Form 144
and
timely file such form with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and
3. take
any other action of any type whatsoever in connection with the
foregoing
which, in the opinion of such attorney-in-fact, may be of
benefit to, in
the best interest of, or legally required by, the
undersigned, it being
understood that the documents executed by such
attorney-in-fact on behalf
of the undersigned pursuant to this Power of
Attorney shall be in such form
and shall contain such terms and
conditions as such attorney-in-fact may
approve in such
attorney-in-fact’s discretion.
The undersigned
hereby grants
to each such attorney-in-fact full power and authority to do
and perform
any and every act and thing whatsoever requisite, necessary, or
proper to
be done in the exercise of any of the rights and powers herein
granted,
as fully to all intents and purposes as the undersigned might or
could do
if personally present, with full power of substitution or
revocation,
hereby ratifying and confirming all that such attorney-in-fact,
or such
attorney-in-fact’s substitute or substitutes, shall lawfully
do or
cause to be done by virtue of this power of attorney and the rights
and
powers herein granted. The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned’s responsibilities to comply with Section 16 of the
Securities Exchange Act of 1934 or Rule 144 of the Securities Act of
1933.
This Power of Attorney shall remain in full force and effect
until the
undersigned is no longer required to file Forms 3, 4, 5 and
Form 144 with
respect to the undersigned’s holdings of and
transactions in
securities issued by the Company, unless earlier revoked
by the undersigned
in a signed writing delivered to the foregoing
attorneys-in-fact.
IN
WITNESS WHEREOF, the undersigned has caused
this Power of Attorney to be
executed as of this 23rd day of February,
2006.
/S/ Matthew Simoncini
________________________
Matthew
Simoncini
STATE OF MICHIGAN
COUNTY OF WAYNE
On
this 23rd day of February, 2006, Matthew
Simoncini personally appeared
before me, and acknowledged that he executed
the foregoing instrument for
the purposes therein contained.
IN
WITNESS WHEREOF, I have
hereunto set my hand and official seal.
/S/ Karen M.
Rosbury
_____________________________________________
Karen M.
Rosbury, Notary Public
Wayne County, MI acting in Oakland
County, MI
My Commission Expires: 04/15/2012