0000278166-17-000044.txt : 20170914 0000278166-17-000044.hdr.sgml : 20170914 20170914191157 ACCESSION NUMBER: 0000278166-17-000044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170914 FILED AS OF DATE: 20170914 DATE AS OF CHANGE: 20170914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANNA JACK CENTRAL INDEX KEY: 0001264855 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08822 FILM NUMBER: 171086589 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 4 1 wf-form4_150543070265677.xml FORM 4 X0306 4 2017-09-14 0 0000278166 CAVCO INDUSTRIES INC CVCO 0001264855 HANNA JACK 1001 N. CENTRAL AVENUE SUITE 800 PHOENIX AZ 85004 1 0 0 0 Common Stock 2017-09-14 4 M 0 3000 32.35 A 5464 D Common Stock 2017-09-14 4 F 0 719 134.95 D 4745 D Non-Employee Director Stock Option (Right to Buy) 32.35 2017-09-14 4 M 0 3000 0 A 2017-09-22 Common Stock 3000.0 3000 D Represents a "net exercise" of outstanding stock options. Mr. Hanna received 2,281 shares of common stock on a net exercise of option to purchase 3,000 shares of common stock. Mr. Hanna forfeited 719 shares of common stock underlying the option in payment of the exercise price, using the closing stock price on September 13, 2017 of $134.95 The option fully vested on September 22, 2011. /s/ James P. Glew attorney-in-fact for Jack Hanna 2017-09-14