Statement of Changes in Beneficial Ownership (4)
November 12 2021 - 6:08AM
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
*
HORNE TIMOTHY P |
2. Issuer Name and Ticker or Trading Symbol
WATTS WATER TECHNOLOGIES INC
[
WTS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
815 CHESTNUT STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/8/2021 |
(Street)
NORTH ANDOVER, MA 01845
(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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Class A Common Stock | 11/8/2021 | | C | | 20000.0000 | A | $0 (1) | 20000.0000 | I | By Trust (2) |
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 |
Class B Common Stock | (1) | 11/8/2021 | | C | | | 20000.0000 | (3) | (3) | Class A Common Stock | 20000.0000 | $0.0000 | 5004290.0000 | I | By Trust (4) |
Class B Common Stock | (1) | | | | | | | (3) | (3) | Class A Common Stock | 1000000.0000 | | 1000000.0000 | I | By Revocable Trust (5) |
Explanation of Responses: |
(1) | Shares of Class B Common Stock are convertible into shares of Class A Common Stock on a 1-for-1 basis. |
(2) | The shares are held in a trust for the benefit of Tara V. Horne. The Reporting Person serves as co-trustee of this trust. |
(3) | All shares of Class B Common Stock were convertible into Class A Common Stock upon issuance and do not have an expiration date. |
(4) | Consists of the following shares of Class B Common Stock which are subject to The Amended and Restated George B. Horne Voting Trust Agreement - 1997 for which the Reporting Person serves as trustee: (i) 1,666,970 shares held in a trust for the benefit of Daniel W. Horne, (ii) 1,666,970 shares held in a trust for the benefit of Deborah Horne, (iii) 1,495,010 shares held in a trust for the benefit of Peter W. Horne, (iv) 22,600 shares held in a trust for the benefit of Tiffany Horne Noonan, (v) 113,924 shares held in a trust for the benefit of Tiffany Horne Noonan, (vi) 20,000 shares held in a trust for the benefit of Tiffany Horne Noonan, (vii) 6,447 shares held in a trust for the benefit of Kiera R. Noonan, (viii) 6,447 shares held in a trust for the benefit of Tessa R. Noonan, and (ix) 5,922 shares held in a trust for the benefit of Liv R. Noonan. |
(5) | These shares of Class B Common Stock are held in a revocable trust of which the Reporting Person is the sole trustee and the sole beneficiary. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
HORNE TIMOTHY P 815 CHESTNUT STREET NORTH ANDOVER, MA 01845 |
| X |
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Signatures
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/s/ Seth M. Kipp, Attorney-in-Fact | | 11/11/2021 |
**Signature of Reporting Person | Date |
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