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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Common Stock (Right to Buy) | $ 20.5 | Â | Â | Â | Â | Â | Â (2) | 08/12/2024 | Common Stock | Â | 21,216 | Â | ||
Common Stock (Right to Buy) | $ 19.08 | Â | Â | Â | Â | Â | Â (2) | 02/12/2024 | Common Stock | Â | 21,645 | Â | ||
Stock Option (Right to Buy) | $ 10.23 | Â | Â | Â | Â | Â | Â (2) | 08/21/2022 | Common Stock | Â | 21,978 | Â | ||
Stock Option (Right to Buy) | $ 13.06 | Â | Â | Â | Â | Â | Â (2) | 02/21/2022 | Common Stock | Â | 16,501 | Â | ||
Stock Option (Right to Buy) | $ 10.72 | Â | Â | Â | Â | Â | Â (2) | 08/08/2021 | Common Stock | Â | 10,309 | Â | ||
Stock Option (Right to Buy) | $ 12.43 | Â | Â | Â | Â | Â | Â (2) | 02/08/2021 | Common Stock | Â | 8,532 | Â | ||
Stock Option (Right to Buy) | $ 17.22 | Â | Â | Â | Â | Â | Â (2) | 08/12/2023 | Common Stock | Â | 21,583 | Â | ||
Stock Option (Right to Buy) | $ 16.45 | Â | Â | Â | Â | Â | Â (2) | 02/12/2023 | Common Stock | Â | 20,921 | Â | ||
Stock Option (Right to Buy) | $ 16.69 | Â | Â | Â | Â | Â | Â (2) | 08/19/2018 | Common Stock | Â | 15,957 | Â | ||
Stock Option (Right to Buy) | $ 17.11 | Â | Â | Â | Â | Â | Â (2) | 02/13/2017 | Common Stock | Â | 14,395 | Â | ||
Stock Option (Right to Buy) | $ 20.27 | Â | Â | Â | Â | Â | Â (2) | 08/13/2017 | Common Stock | Â | 11,878 | Â | ||
Stock Option (Right to Buy) | $ 20.26 | Â | Â | Â | Â | Â | Â (2) | 08/14/2016 | Common Stock | Â | 6,369 | Â | ||
Stock Option (Right to Buy) | $ 15.64 | Â | Â | Â | Â | Â | Â (2) | 02/14/2016 | Common Stock | Â | 9,144 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WOLTZ H O III 1373 BOGGS DRIVE MOUNT AIRY, NC 27030 |
 X |  |  Chairman, President and CEO |  |
James F. Petelle for H. O. Woltz III | 10/30/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | This amended form 5 includes distributions from the Estate of Howard O. Woltz, Jr. |
(2) | Options vest 1/3 annually beginning one year from grant date. |
(3) | The reporting person previously reported in the aggregate all shares which were deemed indirectly owned by the reporting person as the co-trustee of family trusts. This form reports separately these shares which are deemed indirectly owned by the reporting person as the co-trustee of family trusts. Additionally, the reporting person previously reported 21,222 shares indirectly owned by the reporting person through a custodial account for a minor child. These 21,222 shares now are included above in the 177,822 shares reported as indirectly owned by the reporting person as the co-trustee of trusts for the benefit of his children and the children of Edwin M. Woltz. |