0000892553-17-000078.txt : 20171204 0000892553-17-000078.hdr.sgml : 20171204 20171204112542 ACCESSION NUMBER: 0000892553-17-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20171130 FILED AS OF DATE: 20171204 DATE AS OF CHANGE: 20171204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THOMAS SAMUEL F CENTRAL INDEX KEY: 0001266362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11442 FILM NUMBER: 171236205 MAIL ADDRESS: STREET 1: 5885 LANDERBROOK DRIVE STREET 2: STE 205 CITY: MEDINE STATE: OH ZIP: 44124 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHART INDUSTRIES INC CENTRAL INDEX KEY: 0000892553 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED PLATE WORK (BOILER SHOPS) [3443] IRS NUMBER: 341712937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3055 TORRINGTON DRIVE CITY: BALL GROUND STATE: GA ZIP: 30107 BUSINESS PHONE: 770-721-8800 MAIL ADDRESS: STREET 1: 3055 TORRINGTON DRIVE CITY: BALL GROUND STATE: GA ZIP: 30107 4 1 wf-form4_151240472292102.xml FORM 4 X0306 4 2017-11-30 0 0000892553 CHART INDUSTRIES INC GTLS 0001266362 THOMAS SAMUEL F 3055 TORRINGTON DR BALL GROUND GA 30107 1 1 0 0 Executive Chairman Common Stock 2017-11-30 4 M 0 18950 30.95 A 176300 D Common stock, par value $0.01 per share 28275 I By spouse Common stock, par value $0.01 per share 48020 I By Trusts Common stock, par value $0.01 per share 36000 I By Trust Common stock, par value $0.01 per share 54000 I By Trust Common stock, par value $0.01 per share 46000 I By Trust Stock Option (Right to Buy) 30.95 2017-11-30 4 M 0 18950 0 D 2018-01-02 Common Stock 18950.0 0 D 28,904, 24,934, and 5,756 shares of the total amount beneficially owned were granted on January 3, 2017, January 4, 2016, and January 2, 2015, respectively, pursuant to restricted share unit agreements under the Chart Industries, Inc. Amended and Restated 2009 Omnibus Equity Plan in an exempt transaction under Rule 16b-3 and remain subject to restriction. No transaction is being reported on this line. Reported on a previously filed Form 4 or Form 5. Held by trusts for the benefit of the reporting person's family member. The reporting person disclaims beneficial ownership of the shares held by the trusts, and this report should not be deemed an admission that the reporting person is the beneficial owner of the trusts' shares for purposes of Section 16 or for any other purpose. Held by trust, with spouse as trustee, for the benefit of the reporting person's family member. The reporting person disclaims beneficial ownership of the shares held by the trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of the trust's shares for purposes of Section 16 or for any other purpose. Held by trust for the benefit of the reporting person's family members, including his spouse. The reporting person disclaims beneficial ownership of the shares held by the trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of the trust's shares for purposes of Section 16 or for any other purpose. Held by trust for the benefit of the reporting person's family members, including the reporting person. These options were granted on January 2, 2008 pursuant to the Chart Industries, Inc. Amended and Restated 2005 Stock Incentive Plan in an exempt transaction under Rule 16b-3. The options vest with respect to one-fourth (1/4) of the total number of shares of common stock underlying the stock options on each of the first four anniversaries of the date of grant. Ex. 24 - Power of Attorney /s/ Samuel F. Thomas, by Derek B. Swanson, his attorney-in-fact pursuant to Power of Attorney 2017-12-04 EX-24 2 ex-24.htm SAMUEL F. THOMAS POWER OF ATTORNEY

POWER OF ATTORNEY

KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints each of DeWayne R. Youngberg, Derek B. Swanson and Arthur C. Hall III, signing singly, the undersigned's true and lawful attorney-in-fact to:

(1)    execute for and on behalf of the undersigned in the undersigned's capacity as an officer, director and/or stockholder of Chart Industries, Inc. (the "Company"), Forms 3, 4 and 5 pursuant to Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder and Form 144, and all relevant letters of representation in connection with Rule 144 of the Securities Act of 1933;

(2)    do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file any such Form or Forms with the United States Securities and Exchange Commission and any stock exchange or similar authority or transmit them to any broker, transfer agent, legal counsel or other relevant party; and

(3)    take any other action of any type whatsoever in connection with the foregoing (including implementation of EDGAR filings and filing capability) which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such Form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

    The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 or Rule 144 of the Securities Act of 1933, or any other liabilities or obligations.

    This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 or 144 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

    IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of November 20, 2017.



/s/ Samuel F. Thomas