0001567619-21-018943.txt : 20211029
0001567619-21-018943.hdr.sgml : 20211029
20211029083307
ACCESSION NUMBER: 0001567619-21-018943
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210827
FILED AS OF DATE: 20211029
DATE AS OF CHANGE: 20211029
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WOLTZ H O III
CENTRAL INDEX KEY: 0001017475
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09929
FILM NUMBER: 211360800
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: 1002
BUSINESS ADDRESS:
STREET 1: 1373 BOGGS DR
CITY: MOUNT AIRY
STATE: NC
ZIP: 27030
BUSINESS PHONE: 3367862141
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
X0306
5
2021-08-27
0
0
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
2021-08-27
5
G
0
2625
0
D
498264
D
Common Stock - Restricted Stock Units
38196
D
Common Stock
113328
I
Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr.
Common Stock
57282
I
Co-trustee of Woltz Foundation
Stock Option (Right to Buy)
41.87
2031-08-16
Common Stock
8656
8656
D
Stock Option (Right to Buy)
21.57
2029-02-12
Common Stock
6281
6281
D
Stock Option (Right to Buy)
18.25
2029-08-12
Common Stock
15408
15408
D
Stock Option (Right to Buy)
22.09
2030-02-11
Common Stock
13532
13532
D
Stock Option (Right to Buy)
19.86
2020-08-11
Common Stock
16949
16949
D
Stock Option (Right to Buy)
41.85
2028-08-13
Common Stock
10534
10534
D
Stock Option (Right to Buy)
34.49
2026-08-11
Common Stock
8643
8643
D
Stock Option (Right to Buy)
29.69
2028-02-13
Common Stock
14340
14340
D
Stock Option (Right to Buy)
37.06
2027-02-07
Common Stock
10981
10981
D
Options vest 1/3 annually beginning one year from grant date.
James F. Petelle for H. O. Woltz III
2021-10-29