FORM 4 __ Check here if no longer subject
to Section 16. Form 4 or Form 5
obligations may continue. See
Instructions 1(b).
U.S. Securities and Exchange Commission
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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(f) of the Investment Company Act of 1940
1. Name and Address of Reporting Person*
Schauer, Albert Christian
5512 Bobwhite
Kalamazoo, MI 49009
2. Issuer Name and Ticker or Trading Symbol
Triple S Plastics, Inc. (TSSS)
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year
October 1999
5. If Amendment, Date of Original (Month/Year)
N/A
6. Relationship of Reporting Person to Issuer (Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
7. Individual or Joint/Group Filing (check applicable line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
1. Title of Security (Instr. 3)
Line 1: Common Stock
Line 2: Common Stock
Line 3: Common Stock
2. Transaction Date (Month/Day/Year)
Line 1: 10/25/99
Line 2: 10/27/99
Line 3: 10/27/99
3. Transaction Code (Instr. 8)
Code Lines 1, 2 and 3: P
V N/A
4. Securities Acquired (A) or Disposed of (D) (Instr. 3,4and5)
Amount Line 1: 2,000
Line 2: 2,000
Line 3: 1,000
A or D Lines 1, 2 and 3: A
Price Line 1: $10.50
Line 2: $10.25
Line 3: $10.50
5. Amount of Securities Beneficially Owned at End of Month
(Instr. 3 and 4)
Total Securities: 36,000
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
Direct: 33,000 Indirect: 3,000
7. Nature of Beneficial Ownership (Instr. 4)
For grandchildren
Table II - Derivative Securities Acquired, Disposed of, or
Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)
Line 1: Employee Stock Option Grant(1)
Line 2: Option to Purchase
Line 3: Option to Purchase
Line 4: Option to Purchase
Line 5: Option to Purchase
2. Conversion or Exercise Price of Derivative Security
Line 1: $3.13
Line 2: $5.00
Line 3: $8.50
Line 4: $6.56
Line 5: $4.88
3. Transaction Date (Month/Day/Year)
Line 1: 5/14/99
Line 2: 7/25/96
Line 3: 7/23/97
Line 4: 6/30/98
Line 5: 7/23/99
4. Transaction Code (Instr. 8)
Code Lines 1-5: A
V N/A
5. Number of Derivative Securities Acquired (A) or Disposed
of(D) (Instr. 3, 4, and 5)
A Line 1: A
D N/A
6. Date Exercisable and Expiration Date (Month/Day/Year)
Date Exercisable Line 1: 5/14/00
Line 2: 1/25/97
Line 3: 1/23/98
Line 4: 12/30/98
Line 5: 1/23/99
Expiration Date Line 1: 5/14/09
Line 2: 7/25/06
Line 3: 7/23/07
Line 4: 6/30/08
Line 5: 7/23/09
7. Title and Amount of Underlying Securities (Instr. 3 and 4)
Title Lines 1-5: Common Stock
Amount or number of shares Line 1: 470,000
Line 2: 3,000
Line 3: 10,000
Line 4: 10,000
Line 5: 20,000
8. Price of Derivative Security (Instr. 5)
Line 1: $3.13
Line 2: $5.00
Line 3: $8.50
Line 4: $6.56
Line 5: $4.88
9. Number of Derivative Securities Beneficially Owned at End of
Month (Instr. 4)
513,000
10. Ownership Form of Derivative Security: Direct (D) or
Indirect (I) (Instr. 4)
D
11. Nature of Indirect Beneficial Ownership (Instr. 4)
Explanation of Responses:
(1) The option vests in five annual installments beginning May 14, 2000
at the rate of 20% per year.
Albert C. Schauer 10/29/99
**Signature of Reporting Person Date
**Intentional misstatements of 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 provided is insufficient, see
Instruction 6 for procedure.
