U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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(h) 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).
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1. Name and Address of Reporting Person*
Kimelman Michael
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(Last) (First) (Middle)
100 Park Avenue
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(Street)
New York New York 10017
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Ultralife Batteries, Inc. (ULBI)
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
May 2001
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[_] 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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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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5.
Amount 6.
4. of Securities Owner-
Securities Acquired (A) or Beneficially ship
2A. Deemed 3. Disposed of (D) Owned Form: 7.
2. Execution Transaction (Instr. 3, 4 and 5) Following Direct Nature of
Transaction Date, Code ------------------------------- Reported (D) or Indirect
1. Date if any (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security (Month/ (Month/ ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (Day/Year) Day/Year) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common Stock 5/3/2001 P 300 A 6.240 (I) ++
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Common Stock 5/10/2001 P 120 A 6.000 (I) ++
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Common Stock 5/23/2001 P 300 A 5.730 (I) ++
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Common Stock 5/24/2001 P 300 A 5.730 (I) ++
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Common Stock 5/25/2001 P 648 A 5.829 28,404 (I) ++
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(Print or Type Response)
(Over)
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
Deriv- Form
2. ative of
Conver- 5. 7. Secur- Deriv- 11.
sion Number of Title and Amount ities ative Nature
or Derivative 6. of Underlying 8. Bene- Secur- of
Exer- 4. Securities Date Securities Price ficially ity: In-
cise 3. 3A. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned Direct direct
Price Trans- Deemed action or Disposed Expiration Date ---------------- Deriv- Following (D) or Bene-
1. of action Execution Code of(D) (Month/Day/Year) Amount ative Reported In- ficial
Title of Deriv- Date Date, (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative (Month/ if any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- Day/ (Month/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. Instr.
(Instr. 3) ity Year) Day/Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Explanation of Responses:
++ The securities reported on this filing are held in the account of an
unregistered investment company over which the Reporting Person has investment
discretion through the Reporting Person's position in the general partner of
said entity. The Reporting Person in turn has a pecuniary interest in the
securities held by said unregistered investment company equal to his portion of
the incentive allocation potentially made to the general partner of said entity
each year.
/s/ Michael Kimelman October 15, 2002
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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
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).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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