Initial Statement of Beneficial Ownership (3)
March 17 2017 - 2:50PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
WEGRZYN ANN M
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/9/2017
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3. Issuer Name
and
Ticker or Trading Symbol
NATIONAL FUEL GAS CO [NFG]
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(Last)
(First)
(Middle)
6363 MAIN STREET
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Chief Information Officer /
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(Street)
WILLIAMSVILLE, NY 14221
(City)
(State)
(Zip)
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5. 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 Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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13717
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D
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Common Stock
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2212
(1)
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I
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401(k) Trust
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Common Stock
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196
(2)
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I
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ESOP Trust
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Stock Appreciation Right
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2/20/2009
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2/20/2018
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Common Stock
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1166
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$47.37
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D
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Stock Appreciation Right
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(3)
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12/22/2018
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Common Stock
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6000
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$29.88
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D
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Stock Appreciation Right
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(4)
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3/11/2020
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Common Stock
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4000
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$52.10
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D
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Stock Appreciation Right
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(5)
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12/20/2020
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Common Stock
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2000
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$63.865
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D
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Stock Appreciation Right
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12/19/2014
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12/19/2021
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Common Stock
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2000
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$55.09
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D
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Stock Appreciation Right
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(6)
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12/19/2022
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Common Stock
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4546
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$53.045
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D
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Restricted Stock Units
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12/19/2017
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12/19/2017
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Common Stock
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242
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(7)
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D
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Restricted Stock Units
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(8)
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(8)
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Common Stock
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950
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(7)
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D
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Restricted Stock Units
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(9)
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(9)
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Common Stock
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932
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(7)
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D
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Explanation of Responses:
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(
1)
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The NFG stock fund under the NFG 401(k) plan is denominated in units, representing ownership interests in a fund that includes both NFG common stock and a reserve of cash. The information reported represents the dollar value of the reporting person's balance in the NFG stock fund as of March 9, 2017, as reported by the plan administrator, divided by the closing price of NFG common stock on that date.
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(
2)
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The NFG employee stock ownership plan is denominated in units, representing ownership interests in a fund that includes both NFG common stock and a reserve of cash. The information reported represents the dollar value of the reporting person's balance in the ESOP as of March 9, 2017, as reported by the plan administrator, divided by the closing price of NFG common stock on that date.
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(
3)
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The stock appreciation right became exercisable in three equal annual installments beginning December 22, 2009.
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(
4)
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The stock appreciation right became exercisable as follows: 1,333 on November 24, 2010; 1,333 on November 23, 2011; and 1,334 on November 21, 2012.
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(
5)
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The stock appreciation right became exercisable as follows: 666 on December 20, 2011; 667 on December 20, 2012; and 667 on December 20, 2013.
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(
6)
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The stock appreciation right became exercisable as follows: 1,515 on December 19, 2013; 1,515 on December 19, 2014; and 1,516 on December 19, 2015.
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(
7)
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Each restricted stock unit represents a contingent right to receive one share of NFG common stock.
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(
8)
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The restricted stock units vest in two equal annual installments beginning December 17, 2017.
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(
9)
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The restricted stock units vest as follows: 310 on December 15, 2017; 311 on December 15, 2018; and 311 on December 15, 2019.
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Remarks:
Exhibit List - Exhibit 24 - Power of Attorney
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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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WEGRZYN ANN M
6363 MAIN STREET
WILLIAMSVILLE, NY 14221
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Chief Information Officer
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Signatures
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James P. Baetzhold
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3/17/2017
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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 5(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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