Initial Statement of Beneficial Ownership (3)
06 October 2016 - 4:00AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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
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GLOSS RODNEY D
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2. Date of Event Requiring Statement (MM/DD/YYYY)
9/12/2016
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3. Issuer Name
and
Ticker or Trading Symbol
Orchids Paper Products CO /DE [TIS]
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(Last)
(First)
(Middle)
C/O ORCHIDS PAPER PRODUCTS COMPANY, 4826 HUNT STREET
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Chief Financial Officer /
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(Street)
PRYOR, OK 74361
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Common Stock Option (Right to Buy)
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9/12/2016
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9/12/2026
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Common Stock
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20000
(1)
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$28.4800
(1)
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D
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Explanation of Responses:
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(
1)
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The options were granted on September 12, 2016 upon Mr. Gloss' appointment as Chief Financial Officer with an exercise price equal to the closing price on August 29, 2016, as agreed by the Company and Mr. Gloss in that certain Offer Letter by and between the Company and Mr. Gloss dated August 27, 2016. 20% of the options vested on the date of grant, with the remaining vesting ratably over the next four years.
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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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GLOSS RODNEY D
C/O ORCHIDS PAPER PRODUCTS COMPANY
4826 HUNT STREET
PRYOR, OK 74361
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Chief Financial Officer
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Signatures
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/s/ Rodney D. Gloss
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10/5/2016
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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 5(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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