0001209191-22-004197.txt : 20220120 0001209191-22-004197.hdr.sgml : 20220120 20220120191056 ACCESSION NUMBER: 0001209191-22-004197 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220101 FILED AS OF DATE: 20220120 DATE AS OF CHANGE: 20220120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson David George CENTRAL INDEX KEY: 0001905958 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00898 FILM NUMBER: 22543707 MAIL ADDRESS: STREET 1: 726 BELL AVENUE STREET 2: SUITE 301 CITY: CARNEGIE STATE: PA ZIP: 15106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMPCO PITTSBURGH CORP CENTRAL INDEX KEY: 0000006176 STANDARD INDUSTRIAL CLASSIFICATION: PUMPS & PUMPING EQUIPMENT [3561] IRS NUMBER: 251117717 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 726 BELL AVENUE STREET 2: SUITE 301 CITY: CARNEGIE STATE: PA ZIP: 15106 BUSINESS PHONE: 412-456-4400 MAIL ADDRESS: STREET 1: 726 BELL AVENUE STREET 2: SUITE 301 CITY: CARNEGIE STATE: PA ZIP: 15106 FORMER COMPANY: FORMER CONFORMED NAME: SCREW & BOLT CORP OF AMERICA DATE OF NAME CHANGE: 19710518 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2022-01-01 0 0000006176 AMPCO PITTSBURGH CORP AP 0001905958 Anderson David George 726 BELL AVENUE SUITE 301 CARNEGIE PA 15106 0 1 0 0 President,Air&Liq. Proc. Group Common Stock 18431 D Series A Warrants (right to buy) 2020-09-22 2025-08-01 Common Stock 8035 D Non-Qualified Stock Options 17.67 2022-05-03 Common Stock 4750 D Non-Qualified Stock Options 17.16 2023-05-02 Common Stock 4750 D Non-Qualified Stock Options 20.00 2024-04-29 Common Stock 5500 D Represents 12,403 shares held directly and restricted stock units ("RSUs") to acquire up to 6,028 shares. The RSUs were granted under the Ampco-Pittsburgh Corporation ("Company") 2016 Omnibus Incentive Plan, as amended. The RSUs remain subject to vesting as set forth in the applicable award agreement. Each Series A warrant represents the right to purchase 0.4464 shares of common stock at an exercise price of $2.5668 per share and was issued as part of a subscription right issued in a rights offering by the Issuer. The Series A warrants are exercisable only for whole numbers of shares of Common Stock. Each Series A warrant is exercisable to acquire 0.4464 shares of common stock at an exercise price of $2.5668 (or $5.75 per whole share of common stock under the Series A warrants). The reporting person was awarded 4,750 employee stock options on May 3, 2012, of which 4,750 remain and are fully vested. The reporting person was awarded 4,750 employee stock options on May 2, 2013, of which 4,750 remain and are fully vested. The reporting person was awarded 5,500 employee stock options on April 29, 2014, of which 5,500 remain and are fully vested. /s/ Alicia Marchesano, Attorney-in-Fact 2022-01-20