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FORM 4 OMB APPROVAL
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OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response ....... 0.5
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UNITED STATES 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(h) of the Investment Company Act of 1940
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Roth Philip R.
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(Last) (First) (Middle)
Gardner Denver, Inc.
1800 Gardner Expressway
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(Street)
Quincy IL 62301
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(City) (State) (Zip)
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2. Issuer Name AND Ticker or Trading Symbol
Gardner Denver, Inc. (GDI)
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
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4. Statement for Month/Day/Year
February 24, 2003
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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 [ ] 10% Owner
[ x ] Officer (give title below) [ ] Other (specify below)
Vice President, Finance and Chief Financial Officer
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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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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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
2A. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Deemed Code ------------------------------- Owned Following (D) or Indirect
1. Transaction Execution (Instr. 8) (A) Reported Indirect Beneficial
Title of Security Date Date, if any ------------ Amount or Price Transaction(s) (I) Ownership
(Instr. 3) (Month/ (Month/ Code V (D) (Instr. 3 (Instr. 4)(Instr. 4)
Day/Year) Day/Year) and 4)
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Common Stock 1/2/03 P 660(1) A 17.0800 34,787 D
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5,495(2) I 401(k) &
Excess
Plan
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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9.
Number of 10.
Deriv- Owner-
2. ative ship
Conver- 5. 7. Secu- Form of 11.
sion Number of Title and Amount rities Deriv- Nature
or 3A. Derivative 6. of Underlying 8. Bene- ative of
Exer- Deemed 4. Securities Date Securities Price ficially Secu- In-
cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned rities: direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- Following Direct Bene-
1. of action Date, Code of (D) (Month/Day/Year) Amount ative Reported (D) or ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secu- Trans- Indirect Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number rity action(s) (I) ship
Security Secu- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) rity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Exployee Stock
Option
(Right to buy) 17.6850 2/24/03 A 13,300 (3) 2/24/13 Common Stk. 13,300 13,300 D
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Explanation of Responses:
(1) Acquired 660 shares under the GDI employee stock purchase plan in
January, 2003.
(2) Between 6/01/02 and 2/24/03 the reporting person has acquired 464 shares
under the Company's Retirement Savings Plan, a 401(k) plan, and the
related Supplemental Excess Defined Contribution Plan. The information
reported herein is based on a report dated as of 2/24/03 from the Plan's
recordkeeper, JP Morgan/American Century.
(3) The options, granted under the Company's Long-Term Incentive Plan, as
amended, are exerciseable in cumulative increments of one-third each on
2/24/04, 2/24/05 and 2/24/06.
/s/ Philip R. Roth February 25, 2003
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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 is insufficient, see Instruction 6 for procedure.