Initial Statement of Beneficial Ownership (3)
January 04 2019 - 10:15AM
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
Estimated average burden
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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
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White Timothy R
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2. Date of Event Requiring Statement (MM/DD/YYYY)
12/29/2018
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3. Issuer Name
and
Ticker or Trading Symbol
GRACO INC [GGG]
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(Last)
(First)
(Middle)
88 11TH AVENUE NE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
President, EMEA /
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(Street)
MINNEAPOLIS, MN 55413
(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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44088.7553
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D
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Common Stock
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2335.9086
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I
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Common Stock (By ESOP)
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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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Non-qualified Stock Option (Right to Buy)
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(1)
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2/13/2019
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Common Stock
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4800
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$6.93
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D
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Non-qualified Stock Option (Right to Buy)
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(1)
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2/23/2020
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Common Stock
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10860
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$8.86
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D
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Non-qualified Stock Option (Right to Buy)
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(2)
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2/18/2021
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Common Stock
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6090
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$14.24
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D
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Non-qualified Stock Option (Right to Buy)
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(2)
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2/17/2022
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Common Stock
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2565
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$16.61
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D
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Non-qualified Stock Option (Right to Buy)
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(2)
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2/15/2023
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Common Stock
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4380
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$19.58
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D
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Non-qualified Stock Option (Right to Buy)
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(2)
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2/14/2024
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Common Stock
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2700
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$24.93
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D
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Non-qualified Stock Option (Right to Buy)
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(2)
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2/13/2025
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Common Stock
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2895
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$24.79
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D
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Non-qualified Stock Option (Right to Buy)
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(3)
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2/12/2026
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Common Stock
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3969
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$23.85
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D
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Non-qualified Stock Option (Right to Buy)
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(3)
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2/16/2028
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Common Stock
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1954
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$43.90
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D
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Non-qualified Stock Option (Right to Buy)
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(3)
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2/17/2027
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Common Stock
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3132
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$30.35
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D
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Explanation of Responses:
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(1)
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Employee stock option granted pursuant to the Graco Inc. 2006 Stock Incentive Plan in transaction exempt under Rule 16b-3. The stock option becomes exercisable in four equal annual installments, commencing one year after the date of the grant.
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(2)
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Employee stock option granted pursuant to the Graco Inc. 2010 Stock Incentive Plan in transaction exempt under Rule 16b-3. The stock option becomes exercisable in four equal annual installments, commencing one year after the date of the grant.
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(3)
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Employee stock option granted pursuant to the Graco Inc. 2015 Stock Incentive Plan in transaction exempt under Rule 16b-3. The stock option becomes exercisable in four equal annual installments, commencing one year after the date of the grant.
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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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White Timothy R
88 11TH AVENUE NE
MINNEAPOLIS, MN 55413
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President, EMEA
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Signatures
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/s/ Francis J. Brixius Jr., attorney-in-fact for Mr. White
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1/4/2019
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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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