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
 
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1. Name and Address of Reporting Person*
Los Bruce A

(Last) (First) (Middle)
6676 FOREST BEACH

(Street)
HOLLAND MI 49423

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/16/2012
3. Issuer Name and Ticker or Trading Symbol
GENTEX CORP [ GNTX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President Human Resources
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)
Common Stock 7,607 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
Employee Stock Option (Right to Buy) 12/27/2006(1) 12/27/2012 Common Stock 9,000 19.5(2) D
Employee Stock Option (Right to Buy) 12/22/2007(1) 12/22/2013 Common Stock 9,630 15.85(2) D
Employee Stock Option (Right to Buy) 12/27/2008(1) 12/27/2014 Common Stock 10,120 18.12(2) D
Employee Stock Option (Right to Buy) 12/24/2009(1) 12/24/2015 Common Stock 10,630 8.3(2) D
Employee Stock Option (Right to Buy) 12/29/2010(1) 12/29/2016 Common Stock 11,060 18.03(2) D
Employee Stock Option (Right to Buy) 12/28/2011(1) 12/28/2017 Common Stock 11,620 29.46(2) D
Employee Stock Option (Right to Buy) 12/29/2012(1) 12/29/2018 Common Stock 12,320 29.92(2) D
Explanation of Responses:
1. These shares become exercisable as to 20% one year after date of grant and an additional 20% at each ensuing anniversary date.
2. Options granted under the Gentex Corporation Employee Stock Option Plan which is a Rule 16B plan.
Remarks:
/s/ Bruce A. Los 02/22/2012
** 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).
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