SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
DAVIS WILLIAM G JR

(Last) (First) (Middle)
C/O LUMOS NETWORKS CORP.
ONE LUMOS PLAZA

(Street)
WAYNESBORO VA 22980

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/08/2016
3. Issuer Name and Ticker or Trading Symbol
Lumos Networks Corp. [ LMOS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP Marketing & Investor Rel.
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, Par Value $0.01 Per Share 38,702(1) D
Common Stock, Par Value $0.01 Per Share 987 I By 401(k) plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (2) 11/01/2022 Common Stock 4,500 $8.26 D
Stock Option (Right to Buy) (3) 03/01/2023 Common Stock 3,420 $11.31 D
Stock Option (Right to Buy) (4) 03/05/2024 Common Stock 10,000 $14.85 D
Explanation of Responses:
1. Includes 30,764 shares of restricted stock that vest as follows: 381 shares on March 1, 2017, 5,000 shares on March 5, 2017, 383 shares on March 1, 2018 and 25,000 shares on March 9, 2018.
2. 66 2/3% of the options are fully vested and currently exercisable and the remaining options vest on 11/1/16.
3. 60% of the options are fully vested and currently exercisable and the remaining options vest as follows: 20% on March 1, 2017 and 20% on March 1, 2018.
4. 50% of the options are fully vested and currently exercisable and the remaining options vest as follows: 25% on March 5, 2017 and 25% on March 5, 2018.
/s/ William G. Davis, Jr. 03/10/2016
** 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 5 (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.
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