FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | ||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
BLOUNT INTERNATIONAL INC [ BLT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2010 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
No securities beneficially owned. | 12/31/2009(1) | J(1) | 0(1) | D | $0(1) | 0(1) | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Restricted Stock Unit Award(2) | $0 | 03/11/2010 | J | 6,800 | (3) | (4) | Common Stock | 6,800 | $0 | 6,800 | D | |||
Stock Appreciation Right(5) | $11.85 | 03/11/2010 | J | 31,600 | (6) | (7) | Common Stock | 31,600 | $11.85 | 38,400 | D |
Explanation of Responses: |
1. No securities beneficially owned. |
2. The Restricted Stock Unit Award was granted under the 2006 Equity Incentive Plan approved by shareholders on April 25, 2006. |
3. The RSU Award shall vest in 12 equal quarterly installments, the first of which vests three months after date of grant, with vesting of 1/12 of the award such every three months thereafter until three years from the date of the grant. All vested RSUs are restricted from sale or other transfer until the date that is three calendar yeears from the date of grant. |
4. An RSU is an unsecured promise to transfer a share at a specified future date. The shares do not have an expiration date or exercise price. |
5. The Stock Appreciation Rights ("SARs") were granted as of March 11, 2010 in accordance with the Blount International, Inc. 2006 Equity Incentive Plan approved by the shareholders on April 25, 2006. The SARsawarded vest in 12 quarterly installments, the first of which vests three months after the date of grant, with the vesting of 1/12 of the award every three months thereafter until three years from the date of the grant. All vested SARs are restricted from sale or other transfer until the date that is three calendar years from the date of grant. |
6. Vests 1/12 quarterly on each succeeding three month period from the date of grant beginning June 11, 2010. |
7. SARs expire ten years from grant date. |
Remarks: |
Mr. German retired from Blount International, Inc. on July 1, 2010. He is no longer subject to Section 16. |
Richard H. Irving, III | 10/01/2010 | |
** 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. |