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SEC Filings
FORM 4 INSTEEL INDUSTRIES INC FOR: FEB 11 FILED BY: JAFROODI SCOT R
Article Stock Quotes (1)
February 13, 2023 9:46 AM EST
Tweet Share E-mail
0 shares
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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
OMB APPROVAL
OMB Number: 3235-0287 Expires: December 31, 2014 Estimated average burden hours
per response: 0.5
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 *
Jafroodi Scot R
--------------------------------------------------------------------------------
(Last) (First) (Middle)
1373 BOGGS DRIVE
--------------------------------------------------------------------------------
(Street)
MOUNT AIRY NC 27030
--------------------------------------------------------------------------------
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INSTEEL INDUSTRIES INC [ IIIN ] 5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner X Officer (give title below) Other (specify below) VP and
Chief Acct. Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/11/2023 4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person Form filed by More than One Reporting
Person
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 Common Stock
02/11/2023 F 429 D $ 29.31 38,926 D Common Stock (Restricted Stock Units)
4,834 D
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 Stock Option (Right to Buy) $ 32.77 (1)
08/15/2032 Common Stock 2,669 2,669 D Stock Option (Right to Buy) $ 38.54
(1) 02/15/2032 Common Stock 1,780 1,780 D Stock Option (Right to
Buy) $ 41.87 (1) 08/16/2031 Common Stock 1,587 1,587 D Stock
Option (Right to Buy) $ 22.09 (1) 02/11/2030 Common Stock 3,721
3,721 D Stock Option (Right to Buy) $ 19.68 (1) 08/11/2030
Common Stock 3,107 3,107 D Stock Option (Right to Buy) $ 18.25
(1) 08/12/2029 Common Stock 4,237 4,237 D Stock Option (Right to Buy) $
21.57 (1) 02/12/2029 Common Stock 3,455 3,455 D Stock Option
(Right to Buy) $ 41.85 (1) 08/13/2028 Common Stock 1,931 1,931 D
Stock Option (Right to Buy) $ 29.69 (1) 02/13/2028 Common Stock
2,629 2,629 D Stock Option (Right to Buy) $ 26.75 (1)
08/07/2027 Common Stock 2,951 2,951 D Stock Option (Right to Buy) $ 37.06
(1) 02/07/2027 Common Stock 2,013 2,013 D Stock Option (Right to
Buy) $ 34.49 (1) 08/11/2026 Common Stock 2,377 2,377 D Stock
Option (Right to Buy) $ 23.95 (1) 02/11/2026 Common Stock 3,165
3,165 D Stock Option (Right to Buy) $ 29.43 (1) 02/16/2031
Common Stock 2,230 2,230 D
Explanation of Responses: 1. Options vest 1/3 annually beginning 1 year from
grant date.
James F. Petelle for Scot R. Jafroodi 02/13/2023 ** 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.
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