5 1 file001.txt FORM 5 -------- FORM 5 -------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON D.C. 20549 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 ________________________________________________________________________________ 1. Name and Address of Reporting Person* Simon Irwin D. -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o The Hain Celestial Group, Inc. 58 South Service Road -------------------------------------------------------------------------------- (Street) Melville NY 11747 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Jarden Corporation (JAH) ________________________________________________________________________________ 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year December 31, 2002 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) |X| Director |_| 10% Owner |_| Officer (give title below) |_| Other (specify below) ____________________________________________________________________ ________________________________________________________________________________ 7. Individual or Joint/Group Filing (Check Applicable Law) |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 ================================================================================
5. 2A. 4. Amount of 6. 2. Deemed Securities Acquired (A) or Securities Ownership Trans- Execution 3. Disposed of (D) Beneficially Form: 7. action Date, Transaction (Instr. 3, 4 and 5) Owned at end (D) Nature of Date if any Code ----------------------------- of Issuer's Direct or Indirect 1. --------- --------- (Instr. 8) (A) Fiscal Year (I) Beneficial Title of Security (Month/ (Month/ ------------ or (Instr. 3 Indirect Ownership (Instr. 3) Day/Year) Day/Year) Code Amount (D) Price and 4) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* If the Form is filed by more than one reporting person, See Instruction 4(b)(v). FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ================================================================================
10. 9. Owner- Number ship 2. of Form of Conver- 5. 7. deriv- Deriv- 11. sion Number of Title and Amount ative ative Nature or 3A. Derivative 6. of Underlying 8. Secur- Secur- of Exer- Deemed Securities Date Securities Price ities ity: In- cise 3. Execut- Acquired (A) Exercisable and (Instr. 3 and 4) of Bene- Direct direct Price Trans- ion 4. or Disposed Expiration Date ---------------- Deriv- ficially (D) or Bene- 1. of action Date, Trans- of (D) (Month/Day/Year) Amount ative Owned In- ficial Title of Deriv- Date if Any action (Instr. 3, ---------------- or Secur- at End direct Owner- Derivative ative (Month/ (Month/ Code 4 and 5) Date Expira- Number ity of Year (I) ship Security Secur- Day/ Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ Stock $18.43 5/30/02 A 20,000 5/30/03 5/30/12 Common 20,000 20,000 D Options Stock (Right to Buy) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(1) The securities covered by this statement reflect a 2-for-1 stock split of the issuer's common stock having a record date of May 20, 2002. /s/ Irwin D. Simon February 13, 2003 ------------------------------------ ----------------- **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).