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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
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*
Lenns Charles A.

(Last) (First) (Middle)
330 W. WILLIAM STREET

(Street)
CORNING NY 14830

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Corning Natural Gas Holding Corp [ CNIG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President, Treasurer, CFO
3. Date of Earliest Transaction (Month/Day/Year)
07/06/2022
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(1) 07/06/2022 D 4,500 D $24.75 0 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
Stock Option $24.63 07/01/2022 A 5,000 07/01/2022 07/01/2032 Common Stock 5,000 $24.63 25,000 D
Stock Option (2) 07/06/2022 D 10,000 08/31/2020 08/31/2030 Common Stock 10,000 (2) 0 D
Stock Option (2) 07/06/2022 D 10,000 09/22/2021 09/22/2031 Common Stock 10,000 (2) 0 D
Stock Option $24.63 07/06/2022 D 5,000 07/01/2022 07/01/2032 Common Stock 5,000 $24.75 0 D
Explanation of Responses:
1. Included shares of restricted stock previously issued to Mr. Lenns for his services as an officer. 1,125 shares of restricted stock vested in full pursuant to that certain merger agreement with ACP Crotona Corp. and ACP Crotona Merger Sub Corp, and 3,375 shares of restricted stock had previously vested.
2. Pursuant to that certain merger agreement with ACP Crotona Corp. and ACP Crotona Merger Sub Corp., Mr. Lenns' stock options converted into the right to receive a cash payment equal to $100,000 representing the excess of the merger consideration ($24.75 per share) over the per share exercise price of the stock options ($16.50 for the 10,000 options granted on 08/31/2020 and $23.00 for the 10,000 options granted on 09/22/2021).
/s/ Charles A. Lenns 07/06/2022
** 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.