Initial Statement of Beneficial Ownership (3)
October 01 2020 - 4:44PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0104
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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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1. Name and Address of Reporting Person
*
2006 Irrevocable Trust of Laura W. Van Loan for the Benefit of Mary M. Crawford |
2. Date of Event Requiring Statement (MM/DD/YYYY)
9/28/2020
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3. Issuer Name and Ticker or Trading Symbol
AMPCO PITTSBURGH CORP [AP]
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(Last)
(First)
(Middle)
6065 PARKLAND BOULEVARD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner _____ Officer (give title below) ___X___ Other (specify below) / Member of 10% owner group |
(Street)
CLEVELAND, OH 44124
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 986444 | D (1) | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Series A Warrants (right to buy) | (2) | 8/1/2025 | Common Stock | 681999 | $5.25 | D (1) | |
Explanation of Responses: |
(1) | These shares are owned directly by the Trust and indirectly by Edward F. Crawford as trustee of the Trust. |
(2) | These warrants are immediately exercisable. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
2006 Irrevocable Trust of Laura W. Van Loan for the Benefit of Mary M. Crawford 6065 PARKLAND BOULEVARD CLEVELAND, OH 44124 |
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| Member of 10% owner group |
CRAWFORD EDWARD F 6065 PARKLAND BOULEVARD CLEVELAND, OH 44124 |
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| Member of 10% owner group |
Signatures
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Edward F. Crawford, Trustee | | 10/1/2020 |
**Signature of Reporting Person | Date |
Edward F. Crawford | | 10/1/2020 |
**Signature of Reporting Person | Date |
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