Statement of Changes in Beneficial Ownership (4)
February 23 2018 - 5:15PM
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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Edwards Jeffrey W.
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2. Issuer Name
and
Ticker or Trading Symbol
Installed Building Products, Inc.
[
IBP
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President, CEO and Chairman
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(Last)
(First)
(Middle)
C/O INSTALLED BUILDING PRODUCTS, INC., 495 S. HIGH STREET, SUITE 50
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/21/2018
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(Street)
COLUMBUS, OH 43215
(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, $0.01 par value per share
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2/21/2018
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A
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34007
(1)
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A
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$0.00
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538807
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D
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Common Stock, $0.01 par value per share
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4027819
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I
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See footnote
(2)
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Common Stock, $0.01 par value per share
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2940882
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I
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See footnote
(3)
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Common Stock, $0.01 par value per share
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72496
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I
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See footnote
(4)
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Common Stock, $0.01 par value per share
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72496
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I
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See footnote
(4)
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Common Stock, $0.01 par value per share
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72496
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I
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See footnote
(4)
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Common Stock, $0.01 par value per share
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72496
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I
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See footnote
(4)
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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. 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
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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 Following Reported Transaction(s) (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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Code
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V
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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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These securities are performance-based restricted shares granted under the Issuer's 2014 Omnibus Incentive Plan. The Issuer's Compensation Committee certified on February 21, 2018 that the applicable performance criteria for fiscal year 2017 had been satisfied. These shares remain subject to a time-based vesting requirement and are scheduled to vest in two equal installments (rounded to the nearest whole share) on each of April 20, 2019 and April 20, 2020.
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(2)
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These securities are held directly by PJAM IBP Holdings, Inc. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein.
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(3)
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These securities are held directly by Installed Building Systems, Inc. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein.
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(4)
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The securities are held by a trust for the benefit of one of the Reporting Person's children. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein.
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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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Edwards Jeffrey W.
C/O INSTALLED BUILDING PRODUCTS, INC.
495 S. HIGH STREET, SUITE 50
COLUMBUS, OH 43215
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X
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X
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President, CEO and Chairman
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Signatures
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/s/ Shelley A. McBride, Attorney-in-Fact
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2/23/2018
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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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