SEC FORM 4 SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ARGYROS GEORGE L

(Last) (First) (Middle)
ARNEL & AFFILIATES
950 SOUTH COAST DR SUITE 200

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AMERIGON INC [ ARGN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/03/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/03/2003 X 3,136 A $2.67 153,136(1) I See footnote(2)
Common Stock 40,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants $2.67 09/03/2003 X 3,136 06/08/1999 09/08/2004 Common Stock 3,136 $0 96,803(3) I See footnote(2)
1. Name and Address of Reporting Person*
ARGYROS GEORGE L

(Last) (First) (Middle)
ARNEL & AFFILIATES
950 SOUTH COAST DR SUITE 200

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
1. Name and Address of Reporting Person*
WESTAR CAPITAL II LLC

(Last) (First) (Middle)
949 SOUTH COAST DR

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
Explanation of Responses:
1. This number does not include 4,500 shares of Series A Preferred Stock owned directly by Westar Capital II, LLC which are currently convertible into 2,686,567 shares of the Issuer's Common Stock.
2. These shares are owned directly by Westar Capital II, LLC, a ten percent owner of the Issuer and indirectly by George L. Argyros, who has a controlling interest in Westar Capital Associates II, LLC, the managing member of Westar Capital II, LLC. George L. Argyros disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
3. This number includes 83,333 shares of the Issuer's Common Stock underlying warrants owned directly by Westar Capital II, LLC and 13,431 shares of the Issuer's Common Stock underlying contingent warrants owned directly by Westar II, LLC. This number is subject to adjustment as provided in the warrants.
/s/ George L. Argyros 03/16/2004
/s/ John Clark, managing member of Westar Capital Associates II, LLC, the managing member of Westar Capital II, LLC 03/17/2004
** Signature of Reporting Person Date
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* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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