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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 | ||||||||
Performance shares | $ 0 | 02/07/2019 | M | 1,036.5 | 02/07/2019 | 02/07/2019 | Common stock | 2,057 (3) | $ 0 | 0 | D | ||||
Performance shares | $ 0 | 02/07/2019 | A | 1,924 | 02/07/2022 | 02/07/2022 | Common Stock | 1,924 (4) | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Barckley Rebecca Anne 414 UNION STREET, SUITE 2000 NASHVILLE, TN 37219 |
Principle Accounting Officer |
/s/ Rebecca Barckley | 02/11/2019 | |
**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) | Award granted pursuant to Louisiana Pacific Corporation 2013 Omnibus plan. Award converts into common stock as of the date of vest. |
(2) | Includes 1,448 shares vesting 2/20; 1,835 shares vesting 2/21 and 1924 shares vesting 2/22. |
(3) | Based upon the conversion of the 2016 performance share grant at a performance attainment of 198.5% plus dividend equivalent shares earned over the period. |
(4) | Each performance share converts into the number of shares of Common Stock by applying a payout factor to the target number of shares vesting on a given date. The payout factor can be from 0 to 200% depending on performance realized. |