0000278166-16-000140.txt : 20161222 0000278166-16-000140.hdr.sgml : 20161222 20161222185224 ACCESSION NUMBER: 0000278166-16-000140 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161222 FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CAVCO INDUSTRIES INC CENTRAL INDEX KEY: 0000278166 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 860214910 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 1001 N. CENTRAL AVE STREET 2: SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 BUSINESS PHONE: 602-256-6263 MAIL ADDRESS: STREET 1: 1001 N. CENTRAL AVE STREET 2: SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Urness Daniel L CENTRAL INDEX KEY: 0001336370 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08822 FILM NUMBER: 162067729 MAIL ADDRESS: STREET 1: C/O CAVCO INDUSTRIES, INC. STREET 2: 1001 N CENTRAL AVE SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 4 1 wf-form4_148245073125723.xml FORM 4 X0306 4 2016-12-22 0 0000278166 CAVCO INDUSTRIES INC CVCO 0001336370 Urness Daniel L 1001 N. CENTRAL AVENUE SUITE 800 PHOENIX AZ 85004 0 1 0 0 Chief Financial Officer Common Stock 2016-12-22 4 G 0 585 0 D 13778 D Shares were gifted as voluntary in-kind charitable contributions. /s/ James P. Glew, Attorney-in-fact for Daniel L. Urness 2016-12-22