0001127602-11-028331.txt : 20111102 0001127602-11-028331.hdr.sgml : 20111102 20111102133146 ACCESSION NUMBER: 0001127602-11-028331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111031 FILED AS OF DATE: 20111102 DATE AS OF CHANGE: 20111102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DZURICKY DAVID J CENTRAL INDEX KEY: 0001238121 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06196 FILM NUMBER: 111173857 MAIL ADDRESS: STREET 1: C/O PIEDMONT NATURAL GAS CO STREET 2: PO BOX 33068 CITY: CHARLOTTE STATE: NC ZIP: 28233 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PIEDMONT NATURAL GAS CO INC CENTRAL INDEX KEY: 0000078460 STANDARD INDUSTRIAL CLASSIFICATION: NATURAL GAS DISTRIBUTION [4924] IRS NUMBER: 560556998 STATE OF INCORPORATION: NC FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 4720 PIEDMONT ROW DR CITY: CHARLOTTE STATE: NC ZIP: 28210 BUSINESS PHONE: 7043643120 MAIL ADDRESS: STREET 1: P.O. BOX 33068 CITY: CHARLOTTE STATE: NC ZIP: 28233 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2011-10-31 1 0000078460 PIEDMONT NATURAL GAS CO INC PNY 0001238121 DZURICKY DAVID J C/O PIEDMONT NATURAL GAS CO CHARLOTTE NC 28233 1 Former Senior Vice President Common Stock 2011-10-31 4 F 0 1753 33.29 D 21762 D Common Stock 2011-09-21 5 G 0 E 1000 0 D 18310 I By Spouse Common Stock 2011-09-21 5 G 0 E 500 0 A 1998 I Held In Trust For Child, David J. Dzuricky, Trustee Common Stock 2011-09-21 5 G 0 E 500 0 A 1998 I Held in Trust for Child, David J. Dzuricky, Trustee Withheld to satisfy tax withhold obligations on 10/31/11 vesting of 1753 shares under Retention Award granted 12/15/10. Includes 1753 Retention Award shares that vested 10/31/11. The remaining Retention Award units were forfeited. Gift of 500 shares each by reporting person's spouse to two trusts of which reporting person is trustee. /s/ Judy Z. Mayo by limited power of attorney for David J. Dzuricky 2011-11-02