SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PETTY DAVID W

(Last) (First) (Middle)
2735 NW 21ST STREET

(Street)
GAINESVILLE FL 32605

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EXACTECH INC [ EXAC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
12/15/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 12/15/2016 M 2,500 A $14.27 65,622 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
Incentive Stock Option (right to buy) $14.27 12/15/2016 M 2,500 12/18/2011 12/18/2016 Common Stock 2,500 $14.27 0 D
Incentive/Non-Qualified Stock Option (right to buy) $18.95 02/28/2014 02/28/2017 Common Stock 4,400 4,400 D
Incentive/Non-Qualified Stock Option (right to buy) $16.33 02/22/2017(1) 02/22/2019 Common Stock 22,500 22,500 D
Incentive/Non-Qualified Stock Option (right to buy) $18.55 02/25/2018(2) 02/25/2020 Common Stock 14,500 14,500 D
Non-Qualified Stock Option (right to buy) $20.9 05/09/2019(3) 05/09/2021 Common Stock 13,150 13,150 D
Non-Qualified Stock Option (right to buy) $23.28 04/29/2020(4) 04/29/2022 Common Stock 30,000 30,000 D
Explanation of Responses:
1. Such options are currently exercisable as regards 17,999 of the covered shares. The remaining options are exercisable, as regards 4,501 of the covered shares, on the fifth anniversary of the date of grant.
2. Such options are currently exercisable as regards 8,700 of the covered shares. The remaining options are exercisable, as regards 2,900 of the covered shares on the fourth anniversary of the date of grant, and as regards 2,900 of the covered shares, on the fifth anniversary of the date of grant.
3. Such options are currently exercisable as regards 5,260 of the covered shares. The remaining options are exercisable, as regards 2,630 of the covered shares, on the third anniversary of the date of grant, as regards 2,630 of the covered shares on the fourth anniversary of the date of grant, and as regards 2,630 of the covered shares, on the fifth anniversary of the date of grant.
4. Such options are currently exercisable as regards 6,000 of the covered shares. The remaining options are exercisable, as regards 6,000 of the covered shares, on the second anniversary of the date of grant, as regards 6,000 of the covered shares, on the third anniversary of the date of grant, as regards 6,000 of the covered shares on the fourth anniversary of the date of grant, and as regards 6,000 of the covered shares, on the fifth anniversary of the date of grant.
Remarks:
/s/ David W. Petty 12/19/2016
** 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 Number.