Statement of Changes in Beneficial Ownership (4)
February 08 2017 - 8:13AM
Edgar (US Regulatory)
|
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
WOLTZ H O III
|
2. Issuer Name
and
Ticker or Trading Symbol
INSTEEL INDUSTRIES INC
[
IIIN
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman, President and CEO
|
|
(Last)
(First)
(Middle)
1373 BOGGS DRIVE
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/5/2016
|
|
(Street)
MOUNT AIRY, NC 27030
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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
|
12/5/2016
|
|
G
|
|
130
|
D
|
$0
|
478649
|
D
|
|
|
Common Stock
|
12/13/2016
|
|
G
|
|
2420
|
D
|
$0
|
476229
|
D
|
|
|
Common Stock
|
12/13/2016
|
|
G
|
|
842
|
A
|
$0
|
49136
|
I
|
Trustee of trusts for the benefit of children of H. O. Woltz III
|
|
Common Stock (Restricted Stock Units)
|
2/7/2017
|
|
A
|
|
4047
|
A
|
$0
|
44979
|
D
|
|
|
Common Stock
|
|
|
|
|
|
|
|
118952
|
I
|
Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr.
|
|
Common Stock
|
|
|
|
|
|
|
|
61222
|
I
|
co-trustee of Woltz Foundation
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. 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
|
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 of Derivative Security: 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
|
|
Common Stock (Right to Buy)
|
$37.06
|
2/7/2017
|
|
A
|
|
10981
|
|
(1)
|
2/7/2027
|
Common Stock
|
10981
|
$0
|
10981
|
D
|
|
|
Common Stock (Right to Buy)
|
$20.05
|
|
|
|
|
|
|
(1)
|
8/12/2024
|
Common Stock
|
7072
|
|
7072
|
D
|
|
|
Stock Option (Right to Buy)
|
$34.49
|
|
|
|
|
|
|
(1)
|
8/11/2026
|
Common Stock
|
12965
|
|
12965
|
D
|
|
|
Stock Option (Right to Buy)
|
$21.96
|
|
|
|
|
|
|
(1)
|
2/17/2025
|
Common Stock
|
6452
|
|
12903
|
D
|
|
|
Common Stock (Right to Buy)
|
$19.08
|
|
|
|
|
|
|
(1)
|
2/12/2024
|
Common Stock
|
14430
|
|
7215
|
D
|
|
|
Stock Option (Right to Buy)
|
$23.95
|
|
|
|
|
|
|
(1)
|
2/11/2026
|
Common Stock
|
17261
|
|
17261
|
D
|
|
|
Stock Option (Right to Buy)
|
$18.05
|
|
|
|
|
|
|
(1)
|
8/17/2025
|
Common Stock
|
22971
|
|
22971
|
D
|
|
|
Explanation of Responses:
|
|
(
1)
|
Options vest 1/3 annually beginning one year from grant date.
|
Reporting Owners
|
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
WOLTZ H O III
1373 BOGGS DRIVE
MOUNT AIRY, NC 27030
|
X
|
|
Chairman, President and CEO
|
|
Signatures
|
|
James F. Petelle for H. O. Woltz III
|
|
2/8/2017
|
|
**
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 4(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.
|
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|
Insteel Industries (NASDAQ:IIIN)
Historical Stock Chart
From Jun 2024 to Jul 2024
Insteel Industries (NASDAQ:IIIN)
Historical Stock Chart
From Jul 2023 to Jul 2024
Real-Time news about Insteel Industries Inc (NASDAQ): 0 recent articles
More Insteel Industries Inc News Articles