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*
Hui An

(Last) (First) (Middle)
1525 PERIMETER PARKWAY, SUITE 325

(Street)
HUNTSVILLE AL 35806

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/15/2022
3. Issuer Name and Ticker or Trading Symbol
LAKELAND INDUSTRIES INC [ LAKE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP of Procurement & Asia Mfg.
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)
Common Stock, par value $.01 per share 14,000(1) 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 (i) 8,932 shares held directly by the Reporting Person; (ii) 1,861 time-based Restricted Stock Units ("RSUs"), each of which represents a contingent right to receive one share of the Issuer's common stock, which will vest in installments of 620 RSUs on June 16, 2022, 620 RSUs on January 31, 2023 and 621 RSUs on January 31, 2024, provided that the Reporting Person remains in continuous service through each such vesting date; (iii) 2,667 time-based RSUs, each of which represents a contingent right to receive one share of the Issuer's common stock, which will vest in installments of 889 RSUs on each of April 6, 2023, January 31, 2024 and January 31, 2025, provided that the Reporting Person remains in continuous service through each such vesting date; and (iv) 540 shares of restricted stock subject to time-based vesting, all of which will vest on January 31, 2023, provided that the Reporting Person remains in continuous service through such vesting date.
Remarks:
Exhibit 24.1-Power of Attorney
/s/ Allen E. Dillard, Attorney-in-Fact 06/28/2022
** 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 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.