Statement of Changes in Beneficial Ownership (4)
02 März 2022 - 11:23PM
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).
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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
|
|
1. Name
and Address of Reporting Person *
Kintiroglou Achilles B. |
2. Issuer Name and Ticker or Trading
Symbol AdvanSix Inc. [ ASIX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
SVP, General Counsel |
(Last)
(First)
(Middle)
300 KIMBALL DRIVE, SUITE 100 |
3. Date of Earliest Transaction (MM/DD/YYYY)
2/28/2022
|
(Street)
PARSIPPANY, NJ 07054
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 |
2/28/2022 |
|
A(1) |
|
816 |
A |
$0 |
22687 |
D |
|
Common Stock, par value
$0.01 |
2/28/2022 |
|
F |
|
819 (2) |
D |
$39.15 |
21868 |
D |
|
Common Stock, par value
$0.01 |
2/28/2022 |
|
A |
|
3512 (3) |
A |
$0 |
25382 (4) |
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 |
Stock Option (right to buy) |
$39.15 |
2/28/2022 |
|
A |
|
9814 |
|
(5) |
2/28/2032 |
Common Stock, par value
$0.01 |
9814.0 |
$0 |
9814 |
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 2 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
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Kintiroglou Achilles B.
300 KIMBALL DRIVE, SUITE 100
PARSIPPANY, NJ 07054 |
|
|
SVP, General Counsel |
|
Signatures
|
/s/ Achilles B. Kintiroglou |
|
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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