Statement of Changes in Beneficial Ownership (4)
21 Dezember 2021 - 11:35PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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 *
Marberry Michael |
2. Issuer Name and Ticker or Trading
Symbol AdvanSix Inc. [ ASIX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(Last)
(First)
(Middle)
300 KIMBALL DRIVE, SUITE 101 |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/17/2021
|
(Street)
PARSIPPANY, NJ 07054
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, par value
$0.01 |
12/17/2021 |
|
A |
|
506 (1) |
A |
$43.28 |
121588 (2) |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
Represents the allocation of
deferred compensation to the reporting person's deferred stock unit
fund account under the AdvanSix Inc. Deferred Compensation Plan.
Each unit allocated under the stock unit fund represents the
economic equivalent of one share of common stock. Units are paid
out in shares of AdvanSix Inc. common stock upon
distribution. |
(2) |
Includes 42 shares
representing stock units credited as dividend equivalents in
connection with unvested restricted stock units under the 2016
Stock Incentive Plan of AdvanSix Inc. and its Affiliates, as
amended and restated, and deferred stock units under the AdvanSix
Inc. Deferred Compensation Plan, in each case which were acquired
in a transaction exempt from reporting under Rule
16a-11. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Marberry Michael
300 KIMBALL DRIVE, SUITE 101
PARSIPPANY, NJ 07054 |
X |
|
|
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Signatures
|
/s/ Achilles B. Kintiroglou for Michael L.
Marberry |
|
12/21/2021 |
**Signature of
Reporting Person |
Date |
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