SEC Form 5
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*
GOODLATTE MARYELLEN F

(Last) (First) (Middle)
P. O. BOX 13007

(Street)
ROANOKE VA 24030

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
RGC RESOURCES INC [ RGCO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
09/30/2021
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 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 11/02/2020 A(1) 205.869 A $23.88 28,298.219 D
Common Stock 02/01/2021 A(2) 224.975 A $23.27 28,523.194 D
Common Stock 05/03/2021 A(3) 238.877 A $22.09 28,762.071 D
Common Stock 08/02/2021 A(4) 208.665 A $25.5 28,970.736 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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Includes 138.093 shares purchased 11/02/2020 through dividends reinvested in the Restricted Stock Plan for Outside Directors of RGC Resources, Inc. and 67.776 shares purchased 11/02/2020 through dividends reinvested in the RGC Resources, Inc. Dividend Stock Purchase Plan.
2. Includes 150.909 shares purchased 02/01/2021 through dividends reinvested in the Restricted Stock Plan for Outside Directors of RGC Resources, Inc. and 74.066 shares purchased 02/01/2021 through dividends reinvested in the RGC Resources, Inc. Dividend Stock Purchase Plan.
3. Includes 160.234 shares purchased 05/03/2021 through dividends reinvested in the Restricted Stock Plan for Outside Directors of RGC Resources, Inc. and 78.643 shares purchased 05/03/2021 through dividends reinvested in the RGC Resources, Inc. Dividend Stock Purchase Plan.
4. Includes 139.969 shares purchased 08/02/2021 through dividends reinvested in the Restricted Stock Plan for Outside Directors of RGC Resources, Inc. and 68.696 shares purchased 08/02/2021 through dividends reinvested in the RGC Resources, Inc. Dividend Stock Purchase Plan.
/s/ Maryellen F. Goodlatte by David M. Garcia, POA dated 07/26/2021 10/27/2021
** 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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