SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Summersgill Carol

(Last) (First) (Middle)
300 MADISON AVENUE

(Street)
TOLEDO OH 43604

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/01/2016
3. Issuer Name and Ticker or Trading Symbol
LIBBEY INC [ LBY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President-Human Resources
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Restricted Stock Units 9,081(1)(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Includes 1,136 restricted stock units remaining in the May 18, 2015 RSU grant that vest in four equal annual installments beginning on May 18, 2016 provided the grantee remains continuously employed by the Company as of those respective dates; 922 restricted stock units remaining in the May 18, 2015 RSU grant that vest in four equal annual installments beginning on May 18, 2016 provided the grantee remains continuously employed by the Company as of those respective dates; 2,500 restricted stock units remaining in the December 11, 2015 that vest in four equal annual installments beginning on December 11, 2016 provided the grantee remains continuously employed by the Company as of those respective dates; and 3,023 restricted stock units remaining in the February 25, 2016 RSU grant that vest 25% on February 17th of each of 2017, 2018, 2019 and 2020 provided the grantee remains continuously employed by the Company as of those respective dates.
2. Includes restricted stock unit award of 1,500 RSUs granted September 1, 2016 that will vest 25% on each of the first, second, third and fourth anniversary dates provided the grantee remains continuously employed by the Company as of those respective dates.
Remarks:
Debbie Hyndman, Attorney-in-Fact for Carol Summersgill 09/06/2016
** 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 5 (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.