UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported) June 8, 2005
Chicago Rivet & Machine Co.
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(Exact name of registrant as specified in its charter)
Illinois 0-1227 36-0904920
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(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)
901 Frontenac Road, Naperville, Illinois 60563
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(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code (630) 357-8500
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(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions (see General Instruction A.2. below):
[ ] Written communications pursuant to Rule 425 under the Securities Act
(17 CFR 230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17
CFR 240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the
Exchange Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the
Exchange Act (17 CFR 240.13e-4(c))
Item 1.01. Entry into a Material Definitive Agreement.
On June 8, 2005, Chicago Rivet & Machine Co. ("Chicago Rivet") entered into a
Separation Agreement and Release (the "Agreement") with Donald P. Long. Mr.
Long served as Vice President of Sales of Chicago Rivet until June 7, 2005.
Pursuant to the Agreement and in consideration for the release given by Mr.
Long, Chicago Rivet agreed to pay Mr. Long three months of his base annual
salary in the amount of $31,750, less payroll deductions and all required
withholdings.
A copy of the Agreement is attached hereto as Exhibit 10.1.
Item 9.01 Financial Statements and Exhibits.
(c) Exhibits.
10.1 Separation Agreement and Release between Chicago Rivet & Machine Co.
and Donald P. Long, dated June 8, 2005.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
CHICAGO RIVET & MACHINE CO.
/s/ John C. Osterman
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Date: June 13, 2005 By: John C. Osterman
Its: President, Chief Operating
Officer and Treasurer
Exhibit Index
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Exhibit
No. Exhibits
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10.1 Separation Agreement and Release between Chicago Rivet & Machine Co.
and Donald P. Long, dated June 8, 2005.