Amended Statement of Changes in Beneficial Ownership (4/a)
October 12 2021 - 5:25PM
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
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MOORE GEORGE C |
2. Issuer Name and Ticker or Trading Symbol
Zurn Water Solutions Corp
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ZWS
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
511 W. FRESHWATER WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
10/5/2021 |
(Street)
MILWAUKEE, WI 53204
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
10/7/2021 |
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 | 10/5/2021 | | A | | 3934 | A | (1) | 37785 | D | |
Common Stock | 10/7/2021 | | A | | 27773 (2) | A | (3) | 65558 (2) | 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) | $13.65 (4) | 10/7/2021 | | A | | 11423 (4) | | (5) | 2/12/2025 | Common Stock | 22466.0 | $0 | 22466 | D | |
Explanation of Responses: |
(1) | Restricted stock unit grant, which vested immediately, but is not paid out until six months after the Reporting Person's cessation of service as a director. |
(2) | This amendment is being filed to correct an administrative error related to this share number as reported on the original Form 4. |
(3) | Represents an adjustment of outstanding RSUs pursuant to the terms of the Zurn Water Solutions Corporation Performance Incentive Plan (the "Plan") to reflect the impact of the issuer's spin-off of its PMC business, which closed on October 4, 2021 (the "Spin-Off"). |
(4) | This is a previously-granted and outstanding option. Pursuant to the terms of the Plan, the number and the exercise price of outstanding options under the Plan were adjusted as reflected here to reflect the impact of the Spin-Off. |
(5) | Option fully vested. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
MOORE GEORGE C 511 W. FRESHWATER WAY MILWAUKEE, WI 53204 | X |
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Signatures
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/s/Jeffrey J. LaValle under Power of Attorney for George C. Moore | | 10/12/2021 |
**Signature of Reporting Person | Date |
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