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OMB APPROVAL
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OMB Number 3235-0362
Expires: December 31, 2001
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL 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
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
[_] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Dahl James H.
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(Last) (First) (Middle)
1200 Riverplace Blvd., Suite 920
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(Street)
Jacksonville FL 32207
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
ASV, Inc. (ASVI)
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
1999
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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7. Individual or Joint/Group Filing
(Check applicable line)
[X] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
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<PAGE>
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 763,330 I By Rock
Creek
Partners
Ltd.
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Common Stock 20,883 D
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Common Stock 70,550 I By Trust
FBO Son
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Common Stock 70,150 I By Trust
FBO
Daughter
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</TABLE>
* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 3/99)
<PAGE>
FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Option 12.11 12/21/97 Common 2,812 1 D
Stock
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Option 12.11 12/21/98 Common 2,812 1 D
Stock
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Option 12.11 12/21/99* Common 2,812 1 D
Stock
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Option 12.11 12/21/00* Common 2,812 1 D
Stock
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Conv. Sub Deb 16.50 10/08/96 10/15/06 Common 136,363 1 I By Rock
Stock Creek
Partners
Ltd.
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Option 18.33 12/12/98 12/12/02 Common 3,758 1 D
Stock
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Option 18.33 12/12/99* 12/12/02 Common 3,758 1 D
Stock
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Option 18.33 12/12/00* 12/12/02 Common 3,758 1 D
Stock
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Option 18.33 12/12/01* 12/12/02 Common 3,758 1 D
Stock
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Option 17.875 01/04/99 A 01/04/00 01/04/04 Common 250 1 D
Stock
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Option 17.875 01/04/99 A 01/04/01 01/04/04 Common 250 1 D
Stock
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Option 17.875 01/04/99 A 01/04/02 01/04/04 Common 250 1 D
Stock
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Option 17.875 01/04/99 A 01/04/03 01/04/04 Common 250 1 D
Stock
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</TABLE>
Explanation of Responses:
* Pursuant to the warrant certificate issued to Caterpillar Inc. on January
29, 1999, this option became exercisable in full, in accordance with its
terms, as of that date.
/s/ James H. Dahl February 14, 2000
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**Signature of Reporting Person Date
** 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 provided is insufficient, see Instruction 6 for procedure.
