Statement of Changes in Beneficial Ownership (4)
02 März 2022 - 11:20PM
Edgar (US Regulatory)
FORM 4
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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
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3235-0287
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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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Gramm Christopher |
2. Issuer Name and Ticker or Trading Symbol
AdvanSix Inc.
[
ASIX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Controller |
(Last)
(First)
(Middle)
300 KIMBALL DRIVE, SUITE 101 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/28/2022 |
(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
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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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Common Stock, par value $0.01 | 2/28/2022 | | A(1) | | 3017 | A | $0 | 42792 | D | |
Common Stock, par value $0.01 | 2/28/2022 | | F | | 2918 (2) | D | $39.15 | 39874 | D | |
Common Stock, par value $0.01 | 2/28/2022 | | A | | 1883 (3) | A | $0 | 41765 (4) | D | |
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) | 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 |
Stock Option (right to buy) | $39.15 | 2/28/2022 | | A | | 5264 | | (5) | 2/28/2032 | Common Stock, par value $0.01 | 5264.0 | $0 | 5264 | D | |
Explanation of Responses: |
(1) | Shares of common stock acquired upon vesting of performance stock units ("PSUs") granted on February 27, 2019. |
(2) | Shares withheld to satisfy tax withholding obligations related to (i) vesting of the PSUs and (ii) restricted stock units that vested on February 28, 2022. |
(3) | Grant of restricted stock units pursuant to the 2016 Stock Incentive Plan of AdvanSix Inc. and its Affiliates, as Amended and Restated, which will vest in full on February 28, 2025. |
(4) | Includes 8 shares representing shares 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, which were acquired in a transaction exempt from reporting under Rule 16a-11. |
(5) | Grant of stock options pursuant to the 2016 Stock Incentive Plan of AdvanSix Inc. and its Affiliates, as Amended and Restated, which are scheduled to vest in three equal annual installments on the first three anniversaries of the grant date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Gramm Christopher 300 KIMBALL DRIVE, SUITE 101 PARSIPPANY, NJ 07054 |
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| Controller |
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Signatures
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/s/ Achilles B. Kintiroglou for Christopher Gramm | | 3/2/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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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