SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
WOLTZ H O III

(Last) (First) (Middle)
1373 BOGGS DRIVE

(Street)
MOUNT AIRY NC 27030

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INSTEEL INDUSTRIES INC [ IIIN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman, President and CEO
3. Date of Earliest Transaction (Month/Day/Year)
02/20/2013
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/20/2013 M 9,605 A $9.12 469,988 D
Common Stock 02/20/2013 S 5,000 D $17 464,988 D
Common Stock 02/20/2013 S 180 D $17.05 464,808 D
Common Stock 02/21/2013 M 4,186 A $9.12 468,994 D
Common Stock 02/21/2013 S 2,000 D $16.1 466,994 D
Common Stock 02/21/2013 S 389 D $16.2 466,605 D
Common Stock(2) 8,513 I co-executor of Howard O. Woltz, Jr. Estate
Common Stock(2) 365,130 I co-trustee of trusts established by Howard O. Woltz, Jr.
Common Stock(2) 21,222 I Custodial account for minor child
Common Stock (Restricted Stock Units) 77,704 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $9.12 02/20/2013 M 9,605 (1) 03/04/2015 Common Stock 9,605 $0 8,221 D
Stock Option (Right to Buy) $9.12 02/21/2013 M 4,186 (1) 03/04/2015 Common Stock 4,186 $0 4,035 D
Stock Option (Right to Buy) $16.45 (1) 02/12/2023 Common Stock 20,921 20,921 D
Stock Option (Right to Buy) $10.23 (1) 08/21/2022 Common Stock 32,967 32,967 D
Stock Option (Right to Buy) $13.06 (1) 02/21/2022 Common Stock 24,752 24,752 D
Stock Option (Right to Buy) $10.72 (1) 08/08/2021 Common Stock 30,928 30,928 D
Stock Option (Right to Buy) $12.43 (1) 02/08/2021 Common Stock 25,597 25,597 D
Stock Option (Right to Buy) $9.16 (1) 08/09/2020 Common Stock 33,708 33,708 D
Stock Option (Right to Buy) $9.39 (1) 02/09/2020 Common Stock 32,468 32,468 D
Stock Option (Right to Buy) $11.6 (1) 08/10/2019 Common Stock 23,962 23,962 D
Stock Option (Right to Buy) $11.15 (1) 02/19/2018 Common Stock 28,791 28,791 D
Stock Option (Right to Buy) $7.55 (1) 02/10/2019 Common Stock 32,609 32,609 D
Stock Option (Right to Buy) $16.69 (1) 08/19/2018 Common Stock 15,957 15,957 D
Stock Option (Right to Buy) $17.11 (1) 02/13/2017 Common Stock 14,395 14,395 D
Stock Option (Right to Buy) $20.27 (1) 08/13/2017 Common Stock 11,878 11,878 D
Stock Option (Right to Buy) $20.26 (1) 08/14/2016 Common Stock 6,369 6,369 D
Stock Option (Right to Buy) $15.64 (1) 02/14/2016 Common Stock 9,144 9,144 D
Stock Option (Right to Buy) $6.89 (1) 07/26/2015 Common Stock 11,532 11,532 D
Explanation of Responses:
1. Options vest 1/3 annually beginning one year from grant date.
2. 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.
Remarks:
James F. Petelle for H. O. Woltz III 02/22/2013
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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