0000278166-15-000033.txt : 20150701 0000278166-15-000033.hdr.sgml : 20150701 20150701205015 ACCESSION NUMBER: 0000278166-15-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150629 FILED AS OF DATE: 20150701 DATE AS OF CHANGE: 20150701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CAVCO INDUSTRIES INC CENTRAL INDEX KEY: 0000278166 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 860214910 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 1001 N. CENTRAL AVE STREET 2: SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 BUSINESS PHONE: 602-256-6263 MAIL ADDRESS: STREET 1: 1001 N. CENTRAL AVE STREET 2: SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Urness Daniel L CENTRAL INDEX KEY: 0001336370 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08822 FILM NUMBER: 15967039 MAIL ADDRESS: STREET 1: C/O CAVCO INDUSTRIES, INC. STREET 2: 1001 N CENTRAL AVE SUITE 800 CITY: PHOENIX STATE: AZ ZIP: 85004 4 1 wf-form4_143579820517928.xml FORM 4 X0306 4 2015-06-29 0 0000278166 CAVCO INDUSTRIES INC CVCO 0001336370 Urness Daniel L 1001 N. CENTRAL AVENUE SUITE 800 PHOENIX AZ 85004 0 1 0 0 Chief Financial Officer Common Stock 2015-06-29 4 M 0 4029 32 A 6084 D Non-Qualified Stock Option (Right to Buy) 32.0 2015-06-29 4 M 0 10000 0 A 2015-07-10 Common Stock 10000.0 10000 D Represents a "net exercise" of outstanding stock options. Mr. Urness received 4,029 shares of common stock on a net exercise of option to purchase 10,000 shares of common stock. Mr. Urness forfeited 5,971 shares of common stock underlying the option in payment of the exercise price and tax withholding requirements, using the closing stock price on June 29, 2015 of $76.66 This option vested 20% on each of the following dates: July 10, 2009; July 10, 2010; July 10, 2011; July 10, 2012; and July 10, 2013. /s/ James P. Glew, Attorney-in-fact for Daniel L. Urness 2015-07-01