FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CHESAPEAKE UTILITIES CORP [ CPK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2014 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 04/07/2014 | L | 8 | A | $61.41 | 7,126(1) | D | ||||||||
Common Stock | 04/07/2014 | J | 45 | A | $61.41 | 7,171(2) | D | ||||||||
Common Stock | 05/05/2014 | L | 16 | A | $61.49 | 7,187(1) | D | ||||||||
Common Stock | 06/05/2014 | L | 15 | A | $66.95 | 7,202(1) | D | ||||||||
Common Stock | 07/07/2014 | L | 14 | A | $71.5119 | 7,216(1) | D | ||||||||
Common Stock | 07/07/2014 | J | 41 | A | $71.5119 | 7,257(2) | D | ||||||||
Common Stock | 08/05/2014 | L | 15 | A | $65 | 7,272(1) | D | ||||||||
Common Stock | 09/05/2014 | L | 15 | A | $69.08 | 7,287(1) | D | ||||||||
Common Stock | 10/07/2014 | L | 24 | A | $41.935 | 10,955(1) | D | ||||||||
Common Stock | 10/07/2014 | J | 70 | A | $41.935 | 11,025(2) | D | ||||||||
Common Stock | 11/05/2014 | L | 21 | A | $48.02 | 11,046(1) | D | ||||||||
Common Stock | 12/05/2014 | L | 22 | A | $45.525 | 11,068(1)(3) | D | ||||||||
Common Stock | 12/31/2014 | J | 0 | A | $0 | 7,214(3)(4)(5) | I | Held by 401(k) Plan |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Shares acquired by the reporting person since last filing under Chesapeake Utilities Corporation's Dividend Reinvestment and Direct Stock Purchase Plan. |
2. Shares acquired by the reporting person since last filing through reinvestment of dividends under Chesapeake Utilities Corporation's Dividend Reinvestment and Direct Stock Purchase Plan. |
3. Chesapeake Utilities Corporation declared a three-for-two stock split of its issued and outstanding common stock, effected in the form of a stock dividend, payable to all holders of record of common stock at the close of business on August 13, 2014. As a result, the reporting person received 3,644 shares of Chesapeake Utilities Corporation common stock on or about September 8, 2014. |
4. Includes 94 shares of common stock that the reporting person acquired under the 401(k) Plan via an employer supplemental contribution that was funded in shares of Chesapeake Utilities Corporation's common stock in April of 2014. Dividends payable on such shares were reinvested to purchase 99 additional shares of Chesapeake Utilities Corporation common stock since last filing. |
5. Please refer to footnote #3 above. The reporting person received 2,389 shares of Chesapeake Utilities Corporation common stock, as a result of the stock split, in her 401(k) Plan account |
Beth W. Cooper, by Power of Attorney | 02/13/2015 | |
** 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. |