Statement of Changes in Beneficial Ownership (4)
November 19 2021 - 1:35PM
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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OMB Number:
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
*
Jafroodi Scot R |
2. Issuer Name and Ticker or Trading Symbol
INSTEEL INDUSTRIES INC
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IIIN
]
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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 and Chief Acct. Officer |
(Last)
(First)
(Middle)
1373 BOGGS DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/17/2021 |
(Street)
MOUNT AIRY, NC 27030
(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 | 11/17/2021 | | S | | 3000 | D | $45.03 | 35610 | D | |
Common Stock (Restricted Stock Units) | | | | | | | | 7003 | 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 |
Stock Option (Right to Buy) | $41.87 | | | | | | | (1) | 8/16/2031 | Common Stock | 1587 | | 1587 | D | |
Stock Option (Right to Buy) | $19.68 | | | | | | | (1) | 8/11/2030 | Common Stock | 3107 | | 3107 | D | |
Stock Option (Right to Buy) | $22.09 | | | | | | | (1) | 2/11/2030 | Common Stock | 3721 | | 3721 | D | |
Stock Option (Right to Buy) | $18.25 | | | | | | | (1) | 8/12/2029 | Common Stock | 4237 | | 4237 | D | |
Stock Option (Right to Buy) | $21.57 | | | | | | | (1) | 2/12/2029 | Common Stock | 3455 | | 3455 | D | |
Stock Option (Right to Buy) | $41.85 | | | | | | | (1) | 8/13/2028 | Common Stock | 1931 | | 1931 | D | |
Stock Option (Right to Buy) | $29.69 | | | | | | | (1) | 2/13/2028 | Common Stock | 2629 | | 2629 | D | |
Stock Option (Right to Buy) | $26.75 | | | | | | | (1) | 8/7/2027 | Common Stock | 2951 | | 2951 | D | |
Stock Option (Right to Buy) | $37.06 | | | | | | | (1) | 2/7/2027 | Common Stock | 2013 | | 2013 | D | |
Stock Option (Right to Buy) | $34.49 | | | | | | | (1) | 8/11/2026 | Common Stock | 2377 | | 2377 | D | |
Stock Option (Right to Buy) | $23.95 | | | | | | | (1) | 2/11/2026 | Common Stock | 3165 | | 3165 | D | |
Stock Optin (Right to Buy) | $18.05 | | | | | | | (1) | 8/17/2025 | Common Stock | 4211 | | 4211 | D | |
Stock Option (Right to Buy) | $21.96 | | | | | | | (1) | 2/17/2025 | Common Stock | 3548 | | 3548 | D | |
Stock Option (Right to Buy) | $29.43 | | | | | | | (1) | 2/16/2031 | Common Stock | 2230 | | 2230 | D | |
Explanation of Responses: |
(1) | Options vest 1/3 annually beginning 1 year from grant date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Jafroodi Scot R 1373 BOGGS DRIVE MOUNT AIRY, NC 27030 |
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| VP and Chief Acct. Officer |
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Signatures
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James F. Petelle for Scot R. Jafroodi | | 11/19/2021 |
**Signature of Reporting Person | Date |
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