0000278166-19-000069.txt : 20190606 0000278166-19-000069.hdr.sgml : 20190606 20190606173013 ACCESSION NUMBER: 0000278166-19-000069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190605 FILED AS OF DATE: 20190606 DATE AS OF CHANGE: 20190606 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: 19883496 MAIL ADDRESS: STREET 1: C/O CAVCO INDUSTRIES, INC. STREET 2: 1001 N CENTRAL AVE SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 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: 0330 BUSINESS ADDRESS: STREET 1: 3636 N CENTRAL AVE STREET 2: STE 1200 CITY: PHOENIX STATE: AZ ZIP: 85012 BUSINESS PHONE: 602-256-6263 MAIL ADDRESS: STREET 1: 3636 N CENTRAL AVE STREET 2: STE 1200 CITY: PHOENIX STATE: AZ ZIP: 85012 FORMER COMPANY: FORMER CONFORMED NAME: CAVCO INDUSTRIES INC DATE OF NAME CHANGE: 19920703 4 1 wf-form4_155985659447077.xml FORM 4 X0306 4 2019-06-05 0 0000278166 CAVCO INDUSTRIES INC. CVCO 0001336370 Urness Daniel L C/O 3636 NORTH CENTRAL AVENUE SUITE 1200 PHOENIX AZ 85012 0 1 0 0 EVP, CFO & Treasurer Common Stock 2019-06-05 4 M 0 5700 44.28 A 24768 D Common Stock 2019-06-05 4 F 0 3154 149.56 D 21614 D Non-Qualified Stock Option (Right to Buy) 44.28 2019-06-05 4 M 0 5700 0 D 2019-06-05 Common Stock 5700.0 0 D Surrender of shares for payment of option exercise and tax withholding. The option was fully exercisable on June 5, 2016. /s/ Daniel L. Urness 2019-06-06