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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 | ||||||||
Employee Stock Option (4) | $ 19.375 | (5) | 11/04/2018 | Class A Common Stock | 150 | 150 | D | ||||||||
Employee Stock Option (6) | $ 15.6875 | (5) | 11/09/2019 | Class A Common Stock | 200 | 350 | D | ||||||||
Employee Stock Option (6) | $ 10.5625 | (5) | 11/15/2020 | Class A Common Stock | 450 | 800 | D | ||||||||
Employee Stock Option (6) | $ 20.45 | (5) | 11/06/2021 | Class A Common Stock | 600 | 1,400 | D | ||||||||
Employee Stock Option (6) | $ 20.63 | (5) | 11/07/2022 | Class A Common Stock | 1,000 | 2,400 | D | ||||||||
Phantom Stock Units (7) | (7) | 03/01/2017 | M | 1,687 | 03/01/2017(7)(8) | (7)(8) | Class A Common Stock | 8,433 | $ 0 (7) | 6,746 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hansen Robert Alan C/O ALBANY INTERNATIONAL CORP. 216 AIRPORT DRIVE, UNIT 1 ROCHESTER, NH 03867 |
Senior Vice President & CTO |
Kathleen M. Tyrrell, Attorney-in-Fact | 03/03/2017 | |
**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) | Shares distributed pursuant to a Multi-Year Performance Bonus Award made under the Albany International Corp. 2011 Incentive Plan. |
(2) | Shares withheld to satisfy the tax liability in connection with the acquisition described above. |
(3) | Deemed acquisition and disposition to the issuer of shares of stock underlying Phantom Stock Units upon automatic vesting and cash settlement of such units (see footnote 7). No shares were actually issued to the reporting person, nor did the reporting person dispose of any shares. |
(4) | Options granted pursuant to the Company's 1992 Stock Option Plan as incentive to remain in employ of the Company. |
(5) | Fully exercisable. |
(6) | Options granted pursuant to the Company's 1998 Stock Option Plan as incentive to remain in employ of the Company. |
(7) | Phantom Stock Units granted on February 23, 2017 pursuant to the Albany International Corp. 2011 Performance Phantom Stock Unit Plan (the "Phantom Stock Plan"). Each Phantom Stock Unit entitles the holder to receive the cash equivalent of one share of Class A Common Stock at the time of vesting. |
(8) | 1,687 Phantom Stock Units will be settled and payable each year on or about March 1, beginning March 1, 2017. |