0001567619-18-003871.txt : 20181009 0001567619-18-003871.hdr.sgml : 20181009 20181009152444 ACCESSION NUMBER: 0001567619-18-003871 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180821 FILED AS OF DATE: 20181009 DATE AS OF CHANGE: 20181009 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOLTZ H O III CENTRAL INDEX KEY: 0001017475 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09929 FILM NUMBER: 181113512 MAIL ADDRESS: STREET 1: 1373 BOGGS DR CITY: MT AIRY STATE: NC ZIP: 27030 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: 0928 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 5 1 doc1.xml FORM 5 X0306 5 2018-08-21 0 0 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 2018-08-21 5 G 0 1650 0 D 494023 D Common Stock 2018-08-22 5 G 0 200 0 D 493823 D Common Stock (Restricted Stock Units) 28902 D Common Stock 113328 I Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr. Common Stock 54798 I Trustee of trusts for the benefit of children of H. O. Woltz III Common Stock 61222 I co-trustee of Woltz Foundation Stock Option (Right to Buy) 41.85 2028-08-13 Common Stock 10534 10534 D Stock Option (Right to Buy) 34.49 2026-08-11 Common Stock 8643 8643 D Stock Option (Right to Buy) 18.05 2025-08-17 Common Stock 7657 7657 D Stock Option (Right to Buy) 23.95 2026-02-11 Common Stock 5754 5754 D Stock Option (Right to Buy) 29.69 2028-02-13 Common Stock 14340 14340 D Common Stock (Right to Buy) 37.06 2027-02-07 Common Stock 10981 10981 D Stock Option (Right to Buy) 26.75 2027-08-07 Common Stock 16094 16094 D Options vest 1/3 annually beginning one year from grant date. James F. Petelle for H. O. Woltz III 2018-10-09