Statement of Changes in Beneficial Ownership (4)

Date : 10/01/2019 @ 4:55PM
Source : Edgar (US Regulatory)
Stock : Pyxus International Inc (PYX)
Quote : 10.03  0.0 (0.00%) @ 8:59AM

Statement of Changes in Beneficial Ownership (4)

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
                                                                                  
OMB APPROVAL
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
                      

1. Name and Address of Reporting Person *

KEHAYA MARK W
2. Issuer Name and Ticker or Trading Symbol

PYXUS INTERNATIONAL, INC. [ PYX ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    _____ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

C/O PYXUS INTERNATIONAL, INC., 8001 AERIAL CENTER PARKWAY
3. Date of Earliest Transaction (MM/DD/YYYY)

9/30/2019
(Street)

MORRISVILLE, NC 27560
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock  9/30/2019    A    1450  A $0  216530  D 
 
Common Stock                 395  I  401(k) 
Common Stock                 134124  I  By Helga L. Kehaya Trust, Trustee Mark Kehaya (1)
Common Stock                 1308  I  By wife as UTMA custodian for daughter 
Common Stock                 540  I  By wife as UTMA custodian for son 
Common Stock                 55317  I  U.S. Trust Company of Delaware Administrative Trustee of the Kehaya QTIP FBO LISA-HOLD 
Common Stock                 78822  I  Reliance Trust Co, Mark Kehaya, Ery W. Kehaya and Elizabeth Kehaya, co-trustees, Ery W. Kehaya CLAT 
Common Stock                 7485  I  Reliance Trust Company Co-Trustee of the Kehaya GST Ex Tr FBO Ery W. Kehaya 
Common Stock                 15040  I  Reliance Trust Company Co-Tustee of the Kehaya GST Ex Tr FBO Mark Kehaya 
Common Stock                 7485  I  Reliance Trust Company Co-Trustee of the Kehaya GST Ex Tr FBO Elizabeth Kehaya 

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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

Explanation of Responses:
(1)  The reporting person is the trustee of the trust.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
KEHAYA MARK W
C/O PYXUS INTERNATIONAL, INC.
8001 AERIAL CENTER PARKWAY
MORRISVILLE, NC 27560
X



Signatures
LAURA D. JONES, ATTORNEY-IN-FACT 10/1/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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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