Statement of Changes in Beneficial Ownership (4)
August 10 2020 - 8:54AM
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
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3235-0287
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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 Symbol
INSTEEL INDUSTRIES INC
[
IIIN
]
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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 |
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(Last)
(First)
(Middle)
1373 BOGGS DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/7/2020 |
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(Street)
MOUNT AIRY, NC 27030
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 8/7/2020 | | F | | 1533 | D | $19.85 | 499364 | D | |
| Common Stock - Restricted Stock Units | | | | | | | | 31139 | D | |
| Common Stock | | | | | | | | 15804 | I | Trustee of trust for benefit of child of H. O. Woltz III |
| 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 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 | 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 |
| Stock Option (Right to Buy) | $22.09 | | | | | | | (1) | 2/11/2030 | Common Stock | 20298 | | 20298 | D | |
| Stock Option (Right to Buy) | $18.25 | | | | | | | (1) | 8/12/2029 | Common Stock | 23112 | | 23112 | 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) | $18.05 | | | | | | | (1) | 8/17/2025 | Common Stock | 7657 | | 7657 | D | |
| Stock Option (Right to Buy) | $23.95 | | | | | | | (1) | 2/11/2026 | Common Stock | 5754 | | 5754 | D | |
| Stock Option (Right to Buy) | $29.69 | | | | | | | (1) | 2/13/2028 | Common Stock | 14340 | | 14340 | D | |
| Common Stock (Right to Buy) | $37.06 | | | | | | | (1) | 2/7/2027 | Common Stock | 10981 | | 10981 | D | |
| Stock Option (Right to Buy) | $26.75 | | | | | | | (1) | 8/7/2027 | Common Stock | 16094 | | 16094 | D | |
| Stock Option (Right to Buy) | $21.57 | | | | | | | (1) | 2/12/2029 | Common Stock | 18844 | | 18844 | 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 | | 8/10/2020 |
| **Signature of Reporting Person | Date |
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