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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 | ||||||||
Capped Call Option (right to buy) (1) | $ 20 | 12/09/2016 | H(2)(3) | 1 | (4) | (4) | Common Stock | 196,660 | (2) (3) | 0 | I | See footnote (5) | |||
Capped Call Option (right to buy) (6) | $ 32 | 12/09/2016 | P(2)(3) | 1 | (7) | (7) | Common Stock | 196,660 | (2) (3) | 1 | I | See footnote (5) | |||
Capped Call (right to buy) (1) | $ 20 | 12/09/2016 | H(2)(3) | 1 | (8) | (8) | Common Stock | 167,540 | (2) (3) | 0 | I | See footnote (9) | |||
Capped Call (right to buy) (6) | $ 32 | 12/09/2016 | P(2)(3) | 1 | (10) | (10) | Common Stock | 167,540 | (2) (3) | 1 | I | See footnote (9) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Edwards Jeffrey W. C/O INSTALLED BUILDING PRODUCTS, INC. 495 S. HIGH STREET, SUITE 50 COLUMBUS, OH 43215 |
X | X | President, CEO and Chairman | |
Installed Building Systems, Inc. C/O INSTALLED BUILDING PRODUCTS, INC. 495 S. HIGH STREET, SUITE 50 COLUMBUS, OH 43215 |
X | X | Director by Deputization | |
IBP Holding Co C/O INSTALLED BUILDING PRODUCTS, INC. 495 S. HIGH STREET, SUITE 50 COLUMBUS, OH 43215 |
X | X | Director by Deputization |
Shelley A. McBride, Attorney-in-Fact for Jeffrey W. Edwards | 12/12/2016 | |
**Signature of Reporting Person | Date | |
Shelley A. McBride, Attorney-in-Fact for Installed Building Systems, Inc. | 12/12/2016 | |
**Signature of Reporting Person | Date | |
Shelley A. McBride, Attorney-in-Fact for IBP Holding Company | 12/12/2016 | |
**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) | The Call Option has a capped upside participation price to the Reporting Person of $40 (the "Old Option Cap Price"). If there would have been cash settlement of the Call Option, the Reporting Person would have received an amount equal to the product of (1) number of shares underlying the Call Option multiplied by (2) the difference between (A) the lower of (i) the Old Option Cap Price and (ii) the reference price (which is the average weighted average price, per share, of the underlying shares as reported by the exchange at the expiration time on the expiration date) and (B) the exercise price. This Call Option is referred to as the "Old Call Option." |
(2) | Prior to the opening of trading on the New York Stock Exchange on December 9, 2016, each of IBP Holding Company and Installed Building Systems, Inc. cancelled its Old Call Option and purchased its New Call Option (as defined below in footnote 6). The cancellation of the Old Call Option and the purchase of the New Call Option occurred simultaneously with respect to both IBP Holding Company and Installed Building Systems, Inc. (i.e., the four transactions with respect to which this footnote relates occurred simultaneously). The same person acts as the counterparty to both the Old Call Option and the New Call Option. |
(3) | IBP Holding Company received $3,325,521 for the cancellation of its Old Call Option. Installed Building Systems, Inc. received $2,833,101 for the cancellation of its Old Call Option. IBP Holding Company purchased its New Call Option for $2,054,744. Installed Building Systems, Inc. purchased its New Call Option for $1,750,492. Effectively, IBP Holding Company exchanged its Old Call Option for its New Call Option and $1,270,777 in cash and Installed Building Systems, Inc. exchanged its Old Call Option for its New Call Option and $1,082,609 in cash. |
(4) | The Call Option is a European-style call option that consists of 196,660 shares with 9,833 shares becoming exercisable and expiring on each of June 1, 2017; June 2, 2017; June 5, 2017; June 6, 2017; June 7, 2017; June 8, 2017; June 9, 2017; June 12, 2017; June 13, 2017; June 14, 2017; June 15, 2017; June 16, 2017; June 19, 2017; June 20, 2017; June 21, 2017; June 22, 2017; June 23, 2017; June 26, 2017; June 27, 2017; and June 28, 2017. |
(5) | The Call Option is held by IBP Holding Company. The Reporting Persons, other than IBP Holding Company, disclaim beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein. |
(6) | The Call Option has a capped upside participation price to the Reporting Person of $50 (the "Cap Price"). Upon cash settlement of the Call Option, the Reporting Person could receive an amount equal to the product of (1) number of shares underlying the Call Option multiplied by (2) the difference between (A) the lower of (i) the Cap Price and (ii) the reference price (which is the average of the closing prices of the underlying shares as reported by the exchange at the expiration time on the valuation dates) and (B) the exercise price. The valuation dates consist of the expiration date and the nineteen business days immediately preceding the expiration date, subject to adjustment. This Call Option is referred to as the "New Call Option." |
(7) | The Call Option is a European-style call option that consists of 196,660 shares becoming exercisable and expiring on April 16, 2018. |
(8) | The Call Option is a European-style call option that consists of 167,540 shares with 8,377 shares becoming exercisable and expiring on each of June 1, 2017; June 2, 2017; June 5, 2017; June 6, 2017; June 7, 2017; June 8, 2017; June 9, 2017; June 12, 2017; June 13, 2017; June 14, 2017; June 15, 2017; June 16, 2017; June 19, 2017; June 20, 2017; June 21, 2017; June 22, 2017; June 23, 2017; June 26, 2017; June 27, 2017; and June 28, 2017. |
(9) | The Call Option is held by Installed Building Systems, Inc. The Reporting Persons, other than Installed Building Systems, Inc., disclaim beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein. |
(10) | The Call Option is a European-style call option that consists of 167,540 shares becoming exercisable and expiring on April 16, 2018. |