0001140361-11-049788.txt : 20111019 0001140361-11-049788.hdr.sgml : 20111019 20111019091407 ACCESSION NUMBER: 0001140361-11-049788 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111001 FILED AS OF DATE: 20111019 DATE AS OF CHANGE: 20111019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PECHOTA GARY L CENTRAL INDEX KEY: 0001090092 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09929 FILM NUMBER: 111147082 MAIL ADDRESS: STREET 1: 1373 BOGGS DR CITY: MOUNT AIRY STATE: NC ZIP: 27030 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 5 1 doc1.xml FORM 5 X0304 5 2011-10-01 0 0 0 0000764401 INSTEEL INDUSTRIES INC IIIN 0001090092 PECHOTA GARY L 1373 BOGGS DRIVEW MOUNT AIRY NC 27030 1 0 0 0 Common Stock 2011-04-29 5 G 0 400 0 D 38665 D Common Stock (Restricted Stock Units) 3218 D Non-Qualified Stock Option 5.43 2004-07-20 2014-07-20 Common Stock 7200 7200 D James F. Petelle for Gary L. Pechota 2011-10-19