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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SKAINS THOMAS E C/O PIEDMONT NATURAL GAS CO PO BOX 33068 CHARLOTTE, NC 28233 |
X | Chairman, President and CEO |
/s/ Judy Z. Mayo by limited power of attorney for Thomas E. Skains | 01/06/2016 | |
**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) | Issued as accelerated vesting of 2016 LTIP Award and 2017 LTIP Award under registrant's Incentive Compensation Plan. These shares are restricted, subject to full or partial cancellation under certain circumstances and for such period as described in the form of Share Repayment Agreement filed by the registrant in a Form 8-K on December 16, 2015. |
(2) | Shares were valued at closing price of $56.85 on December 14, 2015, which was the day prior to vesting. |
(3) | This number does not include 2,990.57 shares that are held indirectly by Mr. Skains in his 401(k) account. |
(4) | Includes 59,824 equity units issued under a previously reported Retention Award, plus accrued dividends. The vested awards are payable in the form of one share of registrant's common stock per equity unit. |
(5) | Withheld to satisfy tax withholding obligations on (1) December 15, 2015 vesting of 30% of Mr. Skains' previously reported Retention Award equity units, plus 3,024 shares representing dividends that had accrued on such equity units and converted into additional equity units and (2) accelerated vesting of the remaining 50% of his Retention Award equity units (plus 5,040 shares representing dividends that had accrued on such equity units and converted into additional equity units) that would otherwise have vested on December 15, 2016 if Mr. Skains was an employee of the registrant on such date. |
(6) | Includes 19,554 shares of restricted common stock that are subject to full or partial cancellation under certain circumstances and for such period as described in the form of Share Repayment Agreement between the registrant and the reporting person filed by the registrant in a Form 8-K on December 16, 2015. |