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*
Francis Timothy P

(Last) (First) (Middle)
VALMONT INDUSTRIES, INC.
15000 VALMONT PLAZA

(Street)
OMAHA NE 68154-5215

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/10/2023
3. Issuer Name and Ticker or Trading Symbol
VALMONT INDUSTRIES INC [ VMI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim CFO
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 7,701(1) D
Common Stock 106 I By 401K
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
Non-Qualified Stock Option (right to buy) 12/17/2023(2) 12/17/2025 Common Stock 4,000 $112.08 D
Non-Qualified Stock Option (right to buy) 12/17/2023(3) 12/17/2025 Common Stock 945 $112.08 D
Non-Qualified Stock Option (right to buy) 12/14/2021(4) 12/14/2030 Common Stock 1,967 $168.8 D
Non-Qualified Stock Option (right to buy) 12/13/2022(5) 12/13/2031 Common Stock 1,391 $252.89 D
Non-Qualified Stock Option (right to buy) 12/12/2023(6) 12/12/2032 Common Stock 1,087 $332.63 D
Explanation of Responses:
1. Includes 177 restricted stock unit award vesting on December 14, 2023; 250 restricted stock unit award vesting in two equal installments on December 13, 2023 and December 13, 2024; 296 restricted stock unit award vesting in three equal annual installments commencing December 12, 2023; and 980 restricted stock unit award vesting on April 26, 2025.
2. Options vest on December 17, 2023.
3. Options vested on December 17, 2021.
4. Options vested and vest in three equal annual instalments commencing on December 14, 2021.
5. Options vested and vest in three equal annual installments commencing on December 13, 2022.
6. Options commence vesting in three equal annual installments on December 12, 2023.
/s/ R. Andrew Massey for Timothy P. Francis 07/14/2023
** 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 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.
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.