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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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 control number. | SEC 2270 (9-02) |
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) |
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 at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Variable Prepaid Forward Sales Contract Confirmation | Â | 04/07/2003 | Â | J | Â | 25,000 | Â (1) | 04/07/2006 | Common Stock | $ 28.1476 | 25,000 | Â | ||
Variable Prepaid Forward Sales Contract Confirmation | Â | 04/07/2003 | Â | J | Â | 25,000 | Â (2) | 04/09/2007 | Common Stock | $ 28.1476 | 25,000 | Â | ||
Variable Prepaid Forward Sales Contract Confirmation | Â | 04/07/2003 | Â | J | Â | 25,000 | Â (1) | 04/07/2006 | Common Stock | $ 28.1476 | 25,000 | As trustee for reporting persons child. | ||
Variable Prepaid Forward Sales Contract Confirmation | Â | 04/07/2003 | Â | J | Â | 25,000 | Â (2) | 04/09/2007 | Common Stock | $ 28.1476 | 25,000 | As trustee for reporting person's child. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
OREILLY CHARLES H JR 233 SOUTH PATTERSON SPRINGFIELD, MO 65802 |
 X |  |  |  |
Charles H. O'Reilly Jr. | 02/14/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On April 7, 2003, the reporting person entered into a variable prepaid forward agreement (the "Agreement") with a brokerage firm, whereby the reporting person has agreed to sell 25,000 shares of O'Reilly Automotive, Inc. common stock (the "Shares") for the notional amount of $28.1476 per share, subject to adjustment as below, against which the reporting person received on April 7, 2003, proceeds of approximately $625,000 ($25.00 per share.) The Agreement provides that upon its expiration on April 7, 2006 (the "Settlement Date") the reporting person shall be obligated to deliver 25,000 Shares, adjusted downward if such per share value is more than the per share notional amount and equal to or less than the specified ceiling price of $33.7771. At the option of the reporting person, the Agreement may be settled in cash. |
(2) | On April 7, 2003, the reporting person entered into a variable prepaid forward agreement (the "Agreement") with a brokerage firm, whereby the reporting person has agreed to sell 25,000 shares of O'Reilly Automotive, Inc. common stock (the "Shares") for the notional amount of $28.1476 per share, subject to adjustment as below, against which the reporting person received on April 7, 2003, proceeds of approximately $603,000 ($24.12 per share.) The Agreement provides that upon its expiration on April 9, 2007 (the "Settlement Date") the reporting person shall be obligated to deliver 25,000 Shares, adjusted downward if such per share value is more than the per share notional amount and equal to or less than the specified ceiling price of $36.5919. At the option of the reporting person, the Agreement may be settled in cash. |