Annual Statement of Changes in Beneficial Ownership (5)
February 08 2017 - 9:40AM
Edgar (US Regulatory)
FORM 5
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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).
[ ]
Form 3 Holdings Reported
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Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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
*
Burnell Brigette A
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2. Issuer Name
and
Ticker or Trading Symbol
GORMAN RUPP CO [GRC]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Corporate Counsel & Secretary
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(Last)
(First)
(Middle)
600 SOUTH AIRPORT ROAD
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2016
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(Street)
MANSFIELD, OH 44903
(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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Amount
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(A) or (D)
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Price
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Common Stock (401-K Plan)
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3/31/2016
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J
(1)
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1
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A
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$25.93
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294
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I
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By 401-K Trust
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Common Stock (401-K Plan)
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6/30/2016
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J
(1)
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1
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A
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$27.41
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295
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I
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By 401-K Trust
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Common Stock (401-K Plan)
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9/30/2016
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J
(1)
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1
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A
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$25.61
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296
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I
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By 401-K Trust
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Common Stock (Company Stock Plan)
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1/6/2016
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L
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20
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A
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$27.33
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295
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D
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Common Stock (Company Stock Plan)
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2/3/2016
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L
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22
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A
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$24.82
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317
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D
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Common Stock (Company Stock Plan)
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3/3/2016
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L
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22
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A
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$25.85
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339
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D
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Common Stock (Company Stock Plan)
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3/15/2016
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L
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1
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A
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$26.38
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340
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D
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Common Stock (Company Stock Plan)
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4/5/2016
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L
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21
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A
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$25.85
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361
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D
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Common Stock (Company Stock Plan)
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5/4/2016
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L
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19
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A
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$28.44
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380
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D
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Common Stock (Company Stock Plan)
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6/6/2016
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L
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18
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A
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$31.45
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398
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D
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Common Stock (Company Stock Plan)
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6/15/2016
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L
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1
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A
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$29.72
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399
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D
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Common Stock (Company Stock Plan)
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7/8/2016
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L
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21
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A
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$26.80
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420
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D
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Common Stock (Company Stock Plan)
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8/3/2016
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L
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21
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A
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$26.02
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441
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D
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Common Stock (Company Stock Plan)
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9/6/2016
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L
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20
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A
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$27.50
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461
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D
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Common Stock (Company Stock Plan)
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9/14/2016
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L
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2
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A
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$26.10
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463
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D
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Common Stock (Company Stock Plan)
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10/5/2016
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L
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21
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A
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$25.88
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484
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D
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Common Stock (Company Stock Plan)
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11/3/2016
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L
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23
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A
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$23.89
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507
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D
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Common Stock (Company Stock Plan)
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12/5/2016
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L
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18
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A
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$30.24
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525
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D
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Common Stock (Company Stock Plan)
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12/14/2016
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L
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2
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A
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$32.00
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527
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D
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Shares acquired under GRC 401(k) Plan.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Burnell Brigette A
600 SOUTH AIRPORT ROAD
MANSFIELD, OH 44903
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Corporate Counsel & Secretary
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Signatures
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/s/Brigette A. Burnell
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2/8/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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.
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