0001209191-16-140911.txt : 20160912 0001209191-16-140911.hdr.sgml : 20160912 20160912143719 ACCESSION NUMBER: 0001209191-16-140911 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160909 FILED AS OF DATE: 20160912 DATE AS OF CHANGE: 20160912 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BELDEN INC. CENTRAL INDEX KEY: 0000913142 STANDARD INDUSTRIAL CLASSIFICATION: DRAWING AND INSULATING NONFERROUS WIRE [3357] IRS NUMBER: 363601505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 NORTH BRENTWOOD BLVD STREET 2: 15TH FLOOR CITY: ST. LOUIS STATE: MO ZIP: 63105 BUSINESS PHONE: 314-854-8000 MAIL ADDRESS: STREET 1: 1 NORTH BRENTWOOD BLVD STREET 2: 15TH FLOOR CITY: ST. LOUIS STATE: MO ZIP: 63105 FORMER COMPANY: FORMER CONFORMED NAME: BELDEN CDT INC. DATE OF NAME CHANGE: 20040716 FORMER COMPANY: FORMER CONFORMED NAME: CABLE DESIGN TECHNOLOGIES CORP DATE OF NAME CHANGE: 19931006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zink Doug CENTRAL INDEX KEY: 0001585545 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12561 FILM NUMBER: 161880854 MAIL ADDRESS: STREET 1: 739 TRAGO CREEK DRIVE CITY: BALLWIN STATE: MO ZIP: 63021 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-09 0 0000913142 BELDEN INC. BDC 0001585545 Zink Doug 1 NORTH BRENTWOOD BOULEVARD, 15TH FLOOR SAINT LOUIS MO 63105 0 1 0 0 VP and CAO Depositary Shares 2016-09-09 4 P 0 115 96.0715 A 2019-07-15 Common Stock 152.375 115 D Each Depositary Share represents a 1/100th interest in a share of Belden Inc.'s 6.75% Series B Mandatory Convertible Preferred Stock. The conversion price of the Preferred Stock on the mandatory conversion date (July 15, 2019) is dependent upon the average market value of the Common Stock for a period of time prior to the mandatory conversion date as set forth in the Pricing Term Sheet filed with the SEC as a Free Writing Prospectus on July 20, 2016. The Preferred Stock automatically converts into Common Stock on July 15, 2019, but holders may elect to convert shares of the Preferred Stock into Common Stock at any time prior to such date at a conversion price of 120.46 shares of Common Stock per share of the Preferred Stock. This represents 1.15 shares of the Preferred Stock. See note (2). If the average market value of the Common Stock during the period of time indicated in note (2) prior to the mandatory conversion date were $63.74 per share (the closing price on September 9, 2016), each share of the Preferred Stock would convert into 132.50 shares of Common Stock. /s/ Doug Zink 2016-09-12