0001140361-12-000651.txt : 20120104 0001140361-12-000651.hdr.sgml : 20120104 20120104143706 ACCESSION NUMBER: 0001140361-12-000651 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111103 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 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: 12505503 MAIL ADDRESS: STREET 1: 1373 BOGGS DR CITY: MT 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 4 1 doc1.xml FORM 4 X0304 4 2011-11-03 0 0000764401 INSTEEL INDUSTRIES INC IIIN 0001017475 WOLTZ H O III 1373 BOGGS DRIVE MOUNT AIRY NC 27030 1 1 0 0 Chairman, President and CEO Common Stock 2011-11-03 5 G 0 900 0 D 434528 D Common Stock 2011-11-30 5 G 0 3650 0 D 430878 D Common Stock 8513 I co-executor of Howard O. Woltz, Jr. Estate Common Stock 365130 I co-trustee of trusts established by Howard O. Woltz, Jr. Common Stock 21222 I Custodial account for minor child Common Stock (Restricted Stock Units) 91210 D Stock Option (Right to Buy) 10.72 2021-08-08 Common Stock 30928 30928 D Stock Option (Right to Buy) 12.43 2021-02-08 Common Stock 25597 25597 D Stock Option (Right to Buy) 9.16 2020-08-09 Common Stock 33708 33708 D Stock Option (Right to Buy) 9.39 2020-02-09 Common Stock 32468 32468 D Stock Option (Right to Buy) 11.60 2019-08-10 Common Stock 23962 23962 D Stock Option (Right to Buy) 7.55 2019-02-10 Common Stock 32609 32609 D Stock Option (Right to Buy) 11.15 2018-02-19 Common Stock 28791 28791 D Stock Option (Right to Buy) 16.69 2018-08-19 Common Stock 15957 15957 D Stock Option (Right to Buy) 17.11 2017-02-13 Common Stock 14395 14395 D Stock Option (Right to Buy) 20.27 2017-08-13 Common Stock 11878 11878 D Stock Option (Right to Buy) 20.26 2007-08-14 Common Stock 6369 6369 D Stock Option (Right to Buy) 15.64 2016-02-14 Common Stock 9144 9144 D Stock Option (Right to Buy) 9.12 2015-03-04 Common Stock 17826 17826 D Stock Option (Right to Buy) 6.89 2015-07-26 Common Stock 11532 11532 D Options vest 1/3 annually beginning one year from grant date. In addition to the gifts on November 3 and November 30, 2011, this Form also reflects the beneficial interest H. O. Woltz III is deemed to hold in the estate of his father, Howard O. Woltz, Jr., and in three trusts established by his father, following the death of his father on January 2, 2011. Mr. Woltz III disclaims beneficial interest in the shares held in the estate and in trust, except to the extent of his pecuniary interest therein. James F. Petelle for H. O. Woltz III 2012-01-04