-------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ----------------------------- FORM 5 WASHINGTON, D.C. 20549 OMB APPROVAL -------- ----------------------------- / / CHECK THIS BOX IF NO STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB NUMBER: 3235-0362 LONGER SUBJECT TO EXPIRES: DECEMBER 31, 2001 SECTION 16. FORM 4 OR Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, ESTIMATED AVERAGE BURDEN FORM 5 OBLIGATIONS MAY Section 17(a) of the Public Utility Holding Company Act of 1935 or HOURS PER RESPONSE .... 1.0 CONTINUE. SEE Section 30(f) of the Investment Company Act of 1940 ----------------------------- INSTRUCTION 1(b). (Print or Type Responses) ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name AND Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner Fulkrod Ronald E. Woodward Governor Company WGOV ---- --- --------------------------------------------------------------------------------------------- X Officer (give Other (Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for ---- title --- (specify Number of Reporting Month/Year below) below) Person, if an entity September 2001 Vice President (voluntary) 5001 North Second Street -------------------------------------------- ------------------- ---------------------- ------------- (Street) 5. If Amendment, 7. Individual or Joint/Group Filing Date of Original (Check Applicable Line) (Month/Year) X Form filed by One Reporting Person --- Form filed by More than One --- Rockford IL 61125-7001 Reporting Person ---------------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 8) Owned at Direct Bene- (Month/ End of (D) or ficial Day/ ------------------------------------------- Month Indirect Owner- Year) (A) or (I) ship Code V Amount (D) Price (Instr. 3 (Instr. 4) (Instr. 4) and 4) ------------------------------------------------------------------------------------------------------------------------------------ Woodward Governor Company 948 D Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Woodward Governor Company 10,527 I Stock Plan Common Stock ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * 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) ------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer- (Instr. 3) sion or action tion Code ative Securities Ac- cisable and Ex- Exercise Date (Instr. 8) quired (A) or Dis- piration Date Price of (Month/ posed of (D) (Month/Day/ Deriv- Day/ (Instr. 3, 4, and 5) Year) ative Year) Security ----------------------- Date Expira- ----------------------------------- Exer- tion cisable Date Code V (A) (D) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $16.625 01/10/1996 11/18/1996 01/17/2006 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $23.50 11/18/1996 11/18/1996 11/17/2006 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $32.25 11/17/1997 11/17/1997 11/16/2007 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $32.00 01/14/1998 01/14/1998 01/13/2008 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $22.00 11/16/1998 11/16/1998 11/15/2008 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $24.75 11/15/1999 11/14/2000(c) 11/15/2009 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Nonqualified Stock Option $41.813 11/21/2000 11/20/2001(c) 11/20/2010 (right to buy) ------------------------------------------------------------------------------------------------------------------------ Phantom Stock Units 1-for-1 11/21/2000 (1) (1) ------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ 7. Title and Amount of Under- 8. Price 9. Number 10. Owner- 11. Nature lying Securities of of Deriv- ship of In- (Instr. 3 and 4) Deriv- ative Form direct ative Securi- of De- Bene- Secur- ties rivative ficial ity Bene- Secu- Own- (Instr. ficially rities ership 5) Owned Beneficially (Instr. 4) at End Owned at Amount or of End of Title Number of Month Month Shares (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------ Common Stock 2,900(a) 2,900 D ------------------------------------------------------------------------------------------ Common Stock 8,000(b) 10,900 D ------------------------------------------------------------------------------------------ Common Stock 1,223(b) 12,123 D ------------------------------------------------------------------------------------------ Common Stock 459(b) 12,582 D ------------------------------------------------------------------------------------------ Common Stock 5,000(b) 17,582 D ------------------------------------------------------------------------------------------ Common Stock 8,000(b) 25,582 D ------------------------------------------------------------------------------------------ Common Stock 13,000(b) 38,582 D ------------------------------------------------------------------------------------------ Common Stock 1,943 $41.813 40,525 D ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ Explanation of Responses: (a) Stock options originally granted on January 17, 1996 under the Woodward Governor Company 1996 Long-Term Incentive Compensation Plan remaining upon partial attainment of performance goals for Fiscal Year 1996. (b) Grant to reporting person of option to buy shares of common stock under the Woodward Governor Company 1996 Long-Term Incentive Compensation Plan is an exempt transaction under Rule 16b-3. (c) Shares become exercisable at the rate of 25% per year beginning one year from date of grant. (1) The phantom stock units were accrued under the Woodward Governor Company Unfunded Deferred Compensation Plan No. 2 and are to be settled in 100% cash upon separation from the Company. Ronald E. Fulkrod November 9, 2001 ------------------------------- ---------------- **Intentional misstatements or omissions of facts constitute **Signature of Reporting Person Date 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.