0000899243-16-018110.txt : 20160413 0000899243-16-018110.hdr.sgml : 20160413 20160413200915 ACCESSION NUMBER: 0000899243-16-018110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160411 FILED AS OF DATE: 20160413 DATE AS OF CHANGE: 20160413 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Armstrong Flooring, Inc. CENTRAL INDEX KEY: 0001655075 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS PRODUCTS, NEC [3089] IRS NUMBER: 474303305 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2500 COLUMBIA AVENUE CITY: LANCASTER STATE: PA ZIP: 17603 BUSINESS PHONE: 7173970611 MAIL ADDRESS: STREET 1: 2500 COLUMBIA AVENUE CITY: LANCASTER STATE: PA ZIP: 17603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maier Donald R. CENTRAL INDEX KEY: 0001537460 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37589 FILM NUMBER: 161570257 MAIL ADDRESS: STREET 1: C/O ARMSTRONG WORLD INDUSTRIES, INC. STREET 2: 2500 COLUMBIA AVENUE CITY: LANCASTER STATE: PA ZIP: 17603 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-04-11 0 0001655075 Armstrong Flooring, Inc. AFI 0001537460 Maier Donald R. C/O ARMSTRONG FLOORING, INC. 2500 COLUMBIA AVENUE, P.O. BOX 3025 LANCASTER PA 17603 1 1 0 0 President and CEO Common Stock 10563 D Restricted Stock Units Common Stock 37935 37935 D Restricted Stock Units Common Stock 5765 5765 D Restricted Stock Units Common Stock 8498 8498 D Stock Option 15.27 2024-09-26 Common Stock 18143 18143 D Stock Option 14.55 2024-02-25 Common Stock 55142 55142 D Stock Option 13.98 2023-02-20 Common Stock 61685 61685 D Stock Option 11.67 2022-02-28 Common Stock 83639 83639 D Stock Option 8.96 2021-11-01 Common Stock 22313 22313 D Stock Option 9.61 2021-03-02 Common Stock 29970 29970 D Shares acquired in a pro rata distribution by Armstrong World Industries, Inc. ("AWI") as a result of the spin-off of the Issuer from AWI, effective on April 1, 2016. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock under the Issuer's 2016 Long-Term Incentive Plan. The restricted stock units were granted to the Reporting Person on February 24, 2015 and will vest as follows: (1) 18,967 on the second anniversary of the grant, and (2) 18,968 on the third anniversary of the grant (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, except as provided for under the Issuer's 2016 Long-Term Incentive Plan). The restricted stock units were granted to the Reporting Person on September 26, 2014 and will vest on the third anniversary of the grant (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, except as provided for under the Issuer's 2016 Long-Term Incentive Plan). The restricted stock units were granted to the Reporting Person on February 25, 2014 and will vest on December 31, 2016 (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, except as provided for under the Issuer's 2016 Long-Term Incentive Plan). The stock options were granted on September 26, 2014 and 6,046 have vested; the remaining 12,097 unvested stock options will vest and become exercisable as follows: (1) 6,048 on the second anniversary of the grant, and (2) 6,049 on the third anniversary of the grant (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, except as provided for under the Issuer's 2016 Long-Term Incentive Plan). The stock options were granted on February 25, 2014 and 36,760 have vested; the remaining 18,382 unvested stock options will vest and become exercisable on the third anniversary of the grant (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, except as provided for under the Issuer's 2016 Long-Term Incentive Plan). The stock options were granted on February 20, 2013 and have vested. The stock options were granted on February 28, 2012 and have vested. The stock options were granted on November 1, 2011 and have vested. The stock options were granted on March 2, 2011 and have vested. NOTE: All derivative securities on Table II granted prior to April 1, 2016 were originally issued by AWI and, as a result of the spin-off of the Issuer from AWI effective on April 1, 2016, were adjusted and assumed by the Issuer under its 2016 Long-Term Incentive Plan. /s/ Christopher S. Parisi, Attorney-in-Fact 2016-04-13