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*
PAIGE TIMOTHY T

(Last) (First) (Middle)
LIBBEY INC
PO BOX 10060

(Street)
TOLEDO OH 43699-0060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LIBBEY INC [ LBY ]
5. 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
3. Date of Earliest Transaction (Month/Day/Year)
11/19/2015
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 11/19/2015 S 3,000 D $25.21 30,076.1262 D
Common Stock 18,817.4162 I By 401k Plan (1)
Restricted Stock Units 3,270 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
Non-Qualified Stock Option (right to buy) $10.13 02/11/2011 (2) 02/11/2020 Common Stock 5,487 5,487 D
Non-Qualified Stock Option (right to buy) $1.07 02/12/2010 (2) 02/12/2019 Common Stock 1,207 1,207 D
NQ - Stock Option (Right to Buy) $23.02 02/24/2015 (2) 02/24/2024 Common Stock 6,017 6,017 D
Non-Qualified Stock Option (right to buy) $15.35 02/15/2009 (2) 02/15/2018 Common Stock 3,995 3,995 D
Non-Qualified Stock Option (right to buy) $12.8 (3) 02/17/2017 Common Stock 2,632 2,632 D
Non-Qualified Stock Option (right to buy) $19.02 02/22/2014 (2) 02/22/2023 Common Stock 6,818 6,818 D
Non-Qualified Stock Option (right to buy) $13.95 02/17/2013 (2) 02/17/2022 Common Stock 4,478 4,478 D
NQ - Stock Option (Right to Buy) $38.06 02/17/2016 (4) 03/02/2025 Common Stock 4,417 4,417 D
NQ - Stock Option (Right to Buy) $38.06 02/17/2016 03/02/2025 Common Stock 4,417 4,417 D
Non-Qualified Stock Option (right to buy) $17 02/10/2012 (2) 02/10/2021 Common Stock 3,511 3,511 D
Explanation of Responses:
1. The information reported herein is based upon information received from the record keeper of the Libbey Inc. 401k/104m plan. The Libbey Inc. shares attributed to the participant in this report as being held by the plan are the equivalent number of the shares the participant would receive of his entire Libbey Inc. share account if it was distributed to him in Libbey Inc. shares. The actual account in the plan consists of the Libbey Inc. shares and cash.
2. The options become exercisable for 25% of the shares on each of the first, second, third, and fourth anniversary dates.
3. There were two grants on February 16, 2007. The grant of 4,504 options become exercisable for 25% of the shares on each of the first, second, third and fourth anniversary dates. The grant of 4,128 options become exercisable for 33% of the shares on the first, second and third anniversary dates.
4. The options become exercisable for 25% of the shares on February 17th of each of 2016, 2017, 2018 and 2019 provided the grantee remains continuously employed by the Company as of those respective dates.
Remarks:
Debbie Hyndman, Attorney-in-Fact for Timothy T. Paige 11/20/2015
** 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.
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