-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RRobXCNnm/Mo0OXvsnZrBEFHOWMCTjP9blFshwn6UC08q7PYwNwxQL098y8nK5UZ Fl3YEQSstA9fSowyTBfZmw== 0001017475-04-000008.txt : 20041203 0001017475-04-000008.hdr.sgml : 20041203 20041203105504 ACCESSION NUMBER: 0001017475-04-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041203 DATE AS OF CHANGE: 20041203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSTEEL INDUSTRIES INC CENTRAL INDEX KEY: 0000764401 STANDARD INDUSTRIAL CLASSIFICATION: STEEL WORKS, BLAST FURNACES & ROLLING & FINISHING MILLS [3310] IRS NUMBER: 560674867 STATE OF INCORPORATION: NC FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1373 BOGGS DR CITY: MOUNT AIRY STATE: NC ZIP: 27030 BUSINESS PHONE: 9107862141 MAIL ADDRESS: STREET 1: 1373 BOGGS DRIVE CITY: MOUNT AIRY STATE: NC ZIP: 27030 FORMER COMPANY: FORMER CONFORMED NAME: EXPOSAIC INDUSTRIES INC DATE OF NAME CHANGE: 19880511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOLTZ H O III CENTRAL INDEX KEY: 0001017475 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09929 FILM NUMBER: 041182306 BUSINESS ADDRESS: BUSINESS PHONE: 9107862141 MAIL ADDRESS: STREET 1: 1373 BOGGS DR CITY: MT AIRY STATE: NC ZIP: 27030 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-12-01 0 0000764401 INSTEEL INDUSTRIES INC IIIN 0001017475 WOLTZ H O III 1373 BOGGS DRIVE MOUNT AIRY NC 27030 1 1 0 0 President and CEO Common Stock 2004-12-01 4 M 0 10206 A 385771 D Common Stock 2004-12-01 5 F 0 4874 19.24 D 380897 D Common Stock 2004-12-01 4 M 0 18014 8.375 A 398911 D Common Stock 2004-12-01 5 F 0 7842 19.24 D 391069 D Common Stock 2004-12-01 4 M 0 4724 5.25 A 395793 D Common Stock 2004-12-01 5 F 0 1290 19.24 D 394503 D Common Stock 2004-12-01 4 M 0 6096 5.25 A 400599 D Common Stock 2004-12-01 5 F 0 1664 19.24 D 398935 D Common Stock 73764 I Custodial Account Common Stock 67 I Partmership Common Stock 1588 I by ESOP Common Stock 1000 I by Spouse Incentive Stock Option (right to buy) 5.25 2004-12-01 4 M 0 6096 D 2004-08-08 2010-08-08 Common Stock 6096 0 D Non-Qualified Stock Option (right to buy) 5.25 2004-12-01 4 M 0 4724 D 2002-08-08 2010-08-08 Common Stock 4724 0 D Non-Qualified Stock Option (right to buy) 8.375 2004-12-01 4 M 0 18014 D 2004-02-01 2010-02-01 Common Stock 18014 0 D Non-Qualified Stock Option (right to buy) 2004-12-01 4 M 0 10206 D 2002-07-26 Common Stock 10206 0 D Exercise of Stock Options by swapping shares By spouse, beneficial ownership is disclaimed. Excercise Price is $9.1875; Expiration Date is 7/26/09 By: Gary D. Kniskern For: H.O. Woltz III 2004-12-03 -----END PRIVACY-ENHANCED MESSAGE-----