Annual Statement of Changes in Beneficial Ownership (5)
29 Octobre 2021 - 2:33PM
Edgar (US Regulatory)
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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).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
WOLTZ H O III | 2. Issuer Name and Ticker or Trading SymbolINSTEEL 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. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 8/27/2021 |
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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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) |
Amount | (A) or (D) | Price |
Common Stock | 8/27/2021 | | G | 2625 | D | $0 | 498264 | D | |
Common Stock - Restricted Stock Units | | | | | | | 38196 | D | |
Common Stock | | | | | | | 113328 | I | Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr. |
Common Stock | | | | | | | 57282 | I | Co-trustee of Woltz Foundation |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (Right to Buy) | $41.87 | | | | | | (1) | 8/16/2031 | Common Stock | 8656 | | 8656 | D | |
Stock Option (Right to Buy) | $21.57 | | | | | | (1) | 2/12/2029 | Common Stock | 6281 | | 6281 | D | |
Stock Option (Right to Buy) | $18.25 | | | | | | (1) | 8/12/2029 | Common Stock | 15408 | | 15408 | D | |
Stock Option (Right to Buy) | $22.09 | | | | | | (1) | 2/11/2030 | Common Stock | 13532 | | 13532 | D | |
Stock Option (Right to Buy) | $19.86 | | | | | | (1) | 8/11/2020 | Common Stock | 16949 | | 16949 | D | |
Stock Option (Right to Buy) | $41.85 | | | | | | (1) | 8/13/2028 | Common Stock | 10534 | | 10534 | D | |
Stock Option (Right to Buy) | $34.49 | | | | | | (1) | 8/11/2026 | Common Stock | 8643 | | 8643 | D | |
Stock Option (Right to Buy) | $29.69 | | | | | | (1) | 2/13/2028 | Common Stock | 14340 | | 14340 | D | |
Stock Option (Right to Buy) | $37.06 | | | | | | (1) | 2/7/2027 | Common Stock | 10981 | | 10981 | D | |
Explanation of Responses: |
(1) | Options vest 1/3 annually beginning one year from grant date. |
Reporting Owners
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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 |
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Signatures
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James F. Petelle for H. O. Woltz III | | 10/29/2021 |
**Signature of Reporting Person | Date |
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