Statement of Changes in Beneficial Ownership (4)
February 18 2021 - 4:44PM
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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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
*
Bodor Robert |
2. Issuer Name and Ticker or Trading Symbol
Proto Labs Inc
[
PRLB
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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) VP/General Manager-Americas |
(Last)
(First)
(Middle)
5540 PIONEER CREEK DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/16/2021 |
(Street)
MAPLE PLAIN, MN 55359
(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 | 2/16/2021 | | F | | 1337 | D | $197.05 | 14143 (1) | D | |
Common Stock | 2/16/2021 | | A | | 3104 (2) | A | $0 | 17247 | D | |
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 |
Employee Stock Option (right to buy) | $180.46 | 2/16/2021 | | A | | 2190 | | (3) | 2/16/2031 | Common Stock | 2190 | $0 | 2190 | D | |
Explanation of Responses: |
(1) | Reports the total number of shares of Common Stock of the issuer held by the reporting person including 244 shares purchased on May 15, 2020 and 13 shares purchased on November 15, 2020 through the issuer's Employee Stock Purchase Plan program. |
(2) | The restricted stock units vest as to 25% of the shares in four annual installments beginning on February 13, 2022. |
(3) | The option vests as to 25% of the shares in four annual installments beginning on February 13, 2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bodor Robert 5540 PIONEER CREEK DRIVE MAPLE PLAIN, MN 55359 |
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| VP/General Manager-Americas |
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Signatures
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/s/ W. Morgan Burns, Attorney-in-Fact | | 2/18/2021 |
**Signature of Reporting Person | Date |
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