0000278166-21-000052.txt : 20210806 0000278166-21-000052.hdr.sgml : 20210806 20210806170834 ACCESSION NUMBER: 0000278166-21-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210805 FILED AS OF DATE: 20210806 DATE AS OF CHANGE: 20210806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greenblatt David A. CENTRAL INDEX KEY: 0001448344 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08822 FILM NUMBER: 211153750 MAIL ADDRESS: STREET 1: 4218 BEECHWOOD LANE CITY: DALLAS STATE: TX ZIP: 75220-1908 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: 0402 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_162828408601405.xml FORM 4 X0306 4 2021-08-05 0 0000278166 CAVCO INDUSTRIES INC. CVCO 0001448344 Greenblatt David A. 3636 N. CENTRAL AVENUE SUITE 1200 PHOENIX AZ 85012 1 0 0 0 Common Stock 2021-08-05 4 A 0 450 0 A 14150 D This is an award of Restricted Stock Units which will pay out into shares of Common Stock of the Company upon: (a) the 12 month anniversary of the Grant Date, or (b) the Company's next annual meeting of stockholders following the Grant Date, whichever occurs first. Includes 1,700 shares of Restricted Stock Units allocated but not yet vested or delivered. /s/ Mickey R. Dragash attorney-in-fact for David A. Greenblatt 2021-08-06