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*
WRIGHT DICKERSON

(Last) (First) (Middle)
200 SOUTH PARK RD.
SUITE 350

(Street)
HOLLYWOOD FL 33021

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NV5 Global, Inc. [ NVEE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/11/2016
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 08/11/2016 G 10,000(1) D $0 843,755(3) I Wright Family Trust dated December 12, 1990(2)
Common Stock 271,956(3) I Dickerson Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I Dickerson Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 0(5) I Dickerson Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 271,956(3) I Katherine Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I Katherine Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 0(5) I Katherine Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I The Lauren Wright Trust UAD the Dickerson Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I The Stephanie Wright Trust UAD the Dickerson Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I The Lauren Wright Trust UAD the Katherine Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 135,978(4) I The Stephanie Wright Trust UAD the Katherine Wright 2010 GRAT dated June 28, 2010(2)
Common Stock 408,643 I Dickerson Wright 2012 GRAT dated November 9, 2012(2)
Common Stock 408,643 I Katherine Wright 2012 GRAT dated November 9, 2012(2)
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
Explanation of Responses:
1. This transaction represents a gift/charitable donation effective August 11, 2016, to Wake Forest University. This is not a market transaction, thus no price has been reported. No value was received for the gifted shares.
2. Dickerson Wright and his wife, Katherine Wright, are trustees. Mr. Wright disclaims beneficial ownership of these securities except to the extent of this pecuniary interest therein.
3. On June 28, 2016, the Dickerson Wright 2010 GRAT dated June 28, 2010 and the Katherine Wright 2010 GRAT dated June 28, 2010 each distributed 11,577 shares to the Wright Family Trust dated December 12, 1990.
4. On June 28, 2016, the Dickerson Wright 2010 GRAT dated June 28, 2010 and the Katherine Wright 2010 GRAT dated June 28, 2010 each distributed 135,978 shares to the Lauren Wright Trust created under the Dickerson Wright 2010 GRAT dated June 28, 2010 and the Lauren Wright Trust created under the Katherine Wright 2010 GRAT dated June 28, 2010.
5. On June 28, 2016, the Dickerson Wright 2010 GRAT dated June 28, 2010 and the Katherine Wright 2010 GRAT dated June 28, 2010 each distributed 135,978 shares to the Stephanie Wright Trust created under the Dickerson Wright 2010 GRAT dated June 28, 2010 and the Stephanie Wright Trust created under the Katherine Wright 2010 GRAT dated June 28, 2010.
/s/ MaryJo O'Brien, as attorney in fact 08/15/2016
** 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.
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