SEC Form 4
| FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol LCI INDUSTRIES [ LCII ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
| 3. Date of Earliest Transaction (Month/Day/Year) 02/24/2017 | ||||||||||||||||||||||||||
| 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 Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| 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) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Deferred Stock Units | $0.0(1) | 02/24/2017 | A | 621.79 | 03/01/2018(2) | 03/01/2020(2) | Common Stock | 622 | $0(1) | 6,765.1(3) | D | ||||
| Performance Stock Awards | $0.0 | 02/24/2017 | A | 1,262.42(4) | 03/01/2020 | 03/01/2020 | Common Stock | 1,263 | $0 | 2,324.81(5) | D | ||||
| Performance Stock Awards | $0.0 | 02/24/2017 | A | 250(6) | 03/01/2018 | 03/01/2018 | Common Stock | 250 | $0 | 2,574.81 | D | ||||
| Explanation of Responses: |
| 1. Each Deferred Stock Unit represents a contingent right to receive one share of LCII Common Stock. |
| 2. These Deferred Stock Units vest on March 1 at the rate of one third per year for 3 years. |
| 3. Includes 27.92 deferred stock units received as a result of a regular cash dividend of $0.50 per share paid on December 9, 2016 to holders of registrant's common stock on November 28, 2016. In accordance with the registrant's Equity Award and Incentive Plan, holders of deferred stock units received additional deferred stock units equivalent to $0.50 per deferred stock unit held on November 28, 2016. |
| 4. These Performance Stock Awards represent a contingent right to receive shares of LCII Common Stock based on cumulative growth in earnings per share over two years, and vesting on March 1, 2020. |
| 5. Includes 16.75 shares received as a result of regular cash dividends paid in 2016 to holders of registrant's common stock on the respective record dates. In accordance with the registrant's Equity Award and Incentive Plan, holders of performance stock award units received additional stock units equivalent to $1.40 per performance stock award unit held on the respective record dates. |
| 6. These Performance Stock Awards represent a contingent right to receive shares of LCII Common Stock based on cumulative growth in earnings per share which have been achieved and vest on March 1, 2018. |
| Remarks: |
| /s/ Brian M. Hall on behalf of Nick C. Fletcher | 02/28/2017 | |
| ** 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. | ||