Initial Statement of Beneficial Ownership (3)
07 Februar 2022 - 10:22PM
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
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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
*
LaValle Jeffrey J. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
2/3/2022
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3. Issuer Name and Ticker or Trading Symbol
Zurn Water Solutions Corp [ZWS]
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(Last)
(First)
(Middle)
511 W. FRESHWATER WAY |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner
___X___ Officer (give title below) _____ Other (specify below)
VP, General Counsel & Sec'y / |
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(Street)
MILWAUKEE, WI 53204
(City)
(State)
(Zip)
| 5. 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
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4) | 2. Amount of Securities Beneficially Owned
(Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) | 4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Common Stock | 21425 | D | |
| Common Stock | 263 | I | By 401(k) Plan |
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) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) | 6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Stock Option (right to buy) | (1) | 10/5/2031 | Common Stock | 5578.0 | $33.05 | D | |
| Explanation of Responses: |
| (1) | The original option vests in three annual installments beginning on October 5, 2022. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
LaValle Jeffrey J.
511 W. FRESHWATER WAY
MILWAUKEE, WI 53204 |
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| VP, General Counsel & Sec'y |
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Signatures
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| Jeffrey J. LaValle | | 2/7/2022 |
| **Signature of Reporting Person | Date |
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