SEC Form 5
FORM 5 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
| |||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol ALBANY INTERNATIONAL CORP /DE/ [ AIN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Class A Common Stock | 352 | I | By 401(k) | ||||||||||||
Class A Common Stock | 6,595 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 100 | 100 | D | |||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 1,604 | 1,604 | I | Held by Standish Family Holdings, LLC(7) | ||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 120,000 | 120,000 | I | Held by Christine L. Standish Delta Trust(2)(7) | ||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 10,700 | 10,700 | I | Held by Christine L. Standish Gift Trust(3)(7) | ||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 151,318 | 151,318 | I | Held by Standish Delta Trust(4)(7) | ||||||
Class B Common Stock | (1) | (1) | (1) | Class A Common Stock | 869,117 | 869,117 | I | Held by J. S. Standish Co.(5)(7) | ||||||
Class B Common Stock | (1) | 02/19/2015 | G | 100 | (1) | (1) | Class A Common Stock | 100 | (1) | 100 | I | Held by JSS 2015 Holding Trust(6)(7) |
Explanation of Responses: |
1. Convertible on a share-by-share basis into shares of Class A Common Stock. |
2. Held by the Christine L. Standish Delta Trust. Ms. Standish disclaims beneficial ownership of such shares. |
3. Held by the Christine L. Standish Gift Trust. Ms. Standish disclaims beneficial ownership of such shares. |
4. Held by Standish Delta Trust, a trust of which Ms. Standish is a beneficiary. |
5. Held by J. S. Standish Co., Undersigned is President. |
6. Held by JSS 2015 Holding Trust. Undersigned is a beneficiary. |
7. Held by Standish Family Holdings, LLC ("Holdings"). On June 9, 2015, Ms. Standish, each of the trusts referred to above, J. S. Standish Co., and other trusts created by and for the benefit of various members of the Standish family, contributed all of the shares of Class B Common Stock held by such holders, including all of the shares reported above (except for the 100 shares reported above by Ms. Standish as directly owned), to Holdings in exchange for a proportionate number of membership units. Holdings is managed by the J. S. Standish Company, which has sole voting and investment control over the shares of Class B Common Stock held by Holdings. Ms. Standish is President of J. S. Standish Company, and together with J. Spencer Standish and John C. Standish, has joint power to elect and remove all of the directors of J. S. Standish Company. Ms. Standish disclaims beneficial ownership except for those shares as to which she has a pecuniary interest. |
Remarks: |
Charles J. Silva, Jr., Attorney-in-Fact | 02/10/2016 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |