SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 07/01/2005
|
3. Issuer Name and Ticker or Trading Symbol
ITT INDUSTRIES INC
[ ITT ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
X |
Officer (give title below) |
|
Other (specify below) |
SVP & CFO |
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. 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 Beneficially Owned |
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)
|
No securities beneficially owned |
0
|
D |
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: 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 |
Explanation of Responses: |
Remarks: |
|
/s/Kathleen S. Stolar, Secretary, ITT Industries, Inc. under power of attorney granted by George E. Minnich |
07/01/2005 |
|
** 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
5
(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 is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
POWER OF ATTORNEY
The undersigned does hereby nominate,
constitute and appoint Vincent A. Maffeo and Kathleen S. Stolar, or either
of them, his or her true and lawful attorney and agent to do any and all
acts and things and execute and file any and all instruments which said
attorneys and agents, or any of them, may deem necessary or advisable to
enable the undersigned (in his or her individual capacity or in any other
capacity) to comply with the Securities Exchange Act of 1934 (the "34 Act")
and the Securities Act of 1933 (the "33 Act") and any requirements of the
Securities and Exchange Commission (the "SEC") in respect thereof, in
connection with the preparation, execution and/or filing of (i) any report
or statement of beneficial ownership or changes in beneficial ownership of
securities of ITT Industries, Inc., an Indiana corporation (the "Company"),
that the undersigned (in his or her individual capacity or in any other
capacity) may be required to file pursuant to Section 16(a) of the 34 Act,
including any report or statement on Form 3, Form 4 or Form 5, or to any
amendment thereto, (ii) any report or notice required under Rule 144 of the
33 Act, including Form 144, or any amendment thereto, and (iii) any and
all other documents or instruments that may be necessary or desirable in
connection with or in furtherance of any of the foregoing, such power and
authority to extend to any form or forms adopted by the SEC in lieu of or
in addition to any of the foregoing and to include full power and authority
to sign the undersigned's name in his or her individual capacity or
otherwise, hereby ratifying and confirming all that said attorneys and
agents, or any of them, shall do or cause to be done by virtue thereof.
This authorization shall supersede all prior authorizations to act for
the undersigned with respect to securities of the Company in such matters,
which prior authorizations are hereby revoked, and shall remain in effect
for so long as the undersigned (in his or her individual or other capacity)
has any obligations under Section 16 of the 34 Act with respect to
securities of the Company.
IN WITNESS WHEREOF, I have hereunto set my
hand this __16___ day of _________June______, 200_5.
/s/George E. Minnich Signature
George E. Minnich Print Name