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*
2006 Irrevocable Trust of Laura W. Van Loan for the Benefit of Mary M. Crawford

(Last) (First) (Middle)
6065 PARKLAND BOULEVARD

(Street)
CLEVELAND OH 44124

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/28/2020
3. Issuer Name and Ticker or Trading Symbol
AMPCO PITTSBURGH CORP [ AP ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Member of 10% owner group
5. 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 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 986,444 D(1)
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
Series A Warrants (right to buy) (2) 08/01/2025 Common Stock 681,999 5.25 D(1)
1. Name and Address of Reporting Person*
2006 Irrevocable Trust of Laura W. Van Loan for the Benefit of Mary M. Crawford

(Last) (First) (Middle)
6065 PARKLAND BOULEVARD

(Street)
CLEVELAND OH 44124

(City) (State) (Zip)
1. Name and Address of Reporting Person*
CRAWFORD EDWARD F

(Last) (First) (Middle)
6065 PARKLAND BOULEVARD

(Street)
CLEVELAND OH 44124

(City) (State) (Zip)
Explanation of Responses:
1. These shares are owned directly by the Trust and indirectly by Edward F. Crawford as trustee of the Trust.
2. These warrants are immediately exercisable.
Remarks:
Edward F. Crawford, Trustee 10/01/2020
Edward F. Crawford 10/01/2020
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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