0001140361-16-087029.txt : 20161117 0001140361-16-087029.hdr.sgml : 20161117 20161117081554 ACCESSION NUMBER: 0001140361-16-087029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161116 FILED AS OF DATE: 20161117 DATE AS OF CHANGE: 20161117 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSTEEL INDUSTRIES INC CENTRAL INDEX KEY: 0000764401 STANDARD INDUSTRIAL CLASSIFICATION: STEEL WORKS, BLAST FURNACES & ROLLING & FINISHING MILLS [3310] IRS NUMBER: 560674867 STATE OF INCORPORATION: NC FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1373 BOGGS DR CITY: MOUNT AIRY STATE: NC ZIP: 27030 BUSINESS PHONE: 9107862141 MAIL ADDRESS: STREET 1: 1373 BOGGS DRIVE CITY: MOUNT AIRY STATE: NC ZIP: 27030 FORMER COMPANY: FORMER CONFORMED NAME: EXPOSAIC INDUSTRIES INC DATE OF NAME CHANGE: 19880511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOLTZ H O III CENTRAL INDEX KEY: 0001017475 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09929 FILM NUMBER: 162003859 MAIL ADDRESS: STREET 1: 1373 BOGGS DR CITY: MT AIRY STATE: NC ZIP: 27030 4 1 doc1.xml FORM 4 X0306 4 2016-11-16 0 0000764401 INSTEEL INDUSTRIES INC IIIN 0001017475 WOLTZ H O III 1373 BOGGS DRIVE MOUNT AIRY NC 27030 1 1 0 0 Chairman, President and CEO Common Stock 2016-11-16 4 M 0 883 20.27 A 475427 D Common Stock 2016-11-16 4 M 0 7194 17.22 A 482621 D Common Stock 2016-11-16 4 M 0 7072 20.50 A 489693 D Common Stock 2016-11-16 4 F 0 10914 34.25 D 478779 D Common Stock 48294 I Trustee of trusts for the benefit of children of H. O. Woltz III Common Stock 118952 I Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr. Common Stock 61222 I co-trustee of Woltz Foundation Common Stock (Restricted Stock Units) 40932 D Stock Option (Right to Buy) 20.27 2016-11-16 4 M 0 883 0 D 2017-08-13 Common Stock 883 0 D Common Stock (Right to Buy) 20.5 2016-11-16 4 M 0 7072 0 D 2024-08-12 Common Stock 7072 7072 D Stock Option (Right to Buy) 17.22 2016-11-16 4 M 0 7194 0 D 2023-08-12 Common Stock 7194 0 D Stock Option (Right to Buy) 34.49 2026-08-11 Common Stock 12965 12965 D Stock Option (Right to Buy) 21.96 2025-02-17 Common Stock 6452 12903 D Common Stock (Right to Buy) 19.08 2024-02-12 Common Stock 14430 7215 D Stock Option (Right to Buy) 23.95 2026-02-11 Common Stock 17261 17261 D Stock Option (Right to Buy) 18.05 2025-08-17 Common Stock 22971 22971 D Options vest 1/3 annually beginning one year from grant date. James F. Petelle for H. O. Woltz III 2016-11-17