Statement of Changes in Beneficial Ownership (4)
15 April 2016 - 2:11AM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
Cami Ronald
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2. Issuer Name
and
Ticker or Trading Symbol
BLOUNT INTERNATIONAL INC
[
BLT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
4909 SE INTERNATIONAL WAY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
4/12/2016
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(Street)
PORTLAND, OR 97222
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Restricted Stock Unit
(1)
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$0.0
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4/12/2016
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D
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4222
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(2)
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(2)
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Common Stock
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4222.0
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$0
(2)
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0
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D
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Deferred Stock
(1)
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$0.0
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4/12/2016
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D
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39565
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(3)
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(3)
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Common Stock
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39565.0
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$0
(3)
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0
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D
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Explanation of Responses:
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(
1)
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On April 12, 2016, ASP Blade Intermediate Holdings, Inc., a Delaware corporation ("Parent") acquired the issuer pursuant to that certain Agreement and Plan of Merger, dated as of December 9, 2015 (the "Merger Agreement"), among the issuer, Parent and ASP Blade Merger Sub Inc., a Delaware corporation and wholly owned subsidiary of Parent ("Merger Sub"). In accordance with the terms of the Merger Agreement Merger Sub merged with and into the issuer (the "Merger"), with the issuer surviving the Merger as a wholly owned subsidiary of Parent. The Merger is more fully described in the issuer's proxy statement filed with the Securities and Exchange Commission on March 9, 2016.
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(
2)
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Pursuant to the terms of the Merger Agreement, at the Effective Time, each restricted stock unit with respect to the issuer's common stock held by the reporting person immediately prior to the Effective Time, which was granted on May 22, 2015, was cancelled and converted into the right to receive the per share merger consideration, without interest and less any applicable withholding taxes.
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(
3)
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Pursuant to the terms of the Merger Agreement, at the Effective Time, each deferred stock unit with respect to the issuer's common stock held by the reporting person immediately prior to the Effective Time (each of which was granted under the Non-Employee Director Deferred Stock Unit Plan) was cancelled and converted into the right to receive the per share merger consideration, without interest and less any applicable withholding taxes.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Cami Ronald
4909 SE INTERNATIONAL WAY
PORTLAND, OR 97222
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X
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Signatures
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Chad E. Paulson
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4/14/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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