0000719733-21-000080.txt : 20210811 0000719733-21-000080.hdr.sgml : 20210811 20210811180310 ACCESSION NUMBER: 0000719733-21-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200723 FILED AS OF DATE: 20210811 DATE AS OF CHANGE: 20210811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larsen Brett R. CENTRAL INDEX KEY: 0001484792 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11559 FILM NUMBER: 211164892 MAIL ADDRESS: STREET 1: P.O. BOX 14687 CITY: SPOKANE VALLEY STATE: WA ZIP: 99216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KEY TRONIC CORP CENTRAL INDEX KEY: 0000719733 STANDARD INDUSTRIAL CLASSIFICATION: PRINTED CIRCUIT BOARDS [3672] IRS NUMBER: 910849125 STATE OF INCORPORATION: WA FISCAL YEAR END: 0629 BUSINESS ADDRESS: STREET 1: 4424 N. SULLIVAN ROAD CITY: SPOKANE STATE: WA ZIP: 99216 BUSINESS PHONE: 5099288000 MAIL ADDRESS: STREET 1: P O BOX 14687 CITY: SPOKANE STATE: WA ZIP: 99214 4 1 wf-form4_162871937268482.xml FORM 4 X0306 4 2020-07-23 0 0000719733 KEY TRONIC CORP KTCC 0001484792 Larsen Brett R. 4424 N. SULLIVAN ROAD SPOKANE VALLEY WA 99216 0 1 0 0 EVP Admin, CFO, & Treasurer Stock Appreciation Right 6.94 2020-07-23 4 A 0 11250 0 A 2023-07-23 2025-07-23 Common Stock 11250.0 11250 D Stock Appreciation Right 7.17 2021-08-09 4 A 0 11250 0 A 2024-08-09 2026-08-09 Common Stock 11250.0 11250 D Stock appreciation right granted pursuant to the Key Tronic Corporation 2010 Incentive Plan. /s/ Brett R. Larsen 2021-08-11