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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Edwards Jeffrey W. C/O INSTALLED BUILDING PRODUCTS, INC. 495 S. HIGH STREET, SUITE 50 COLUMBUS, OH 43215 |
X | X | President, CEO and Chairman |
Shelley A. McBride, Attorney-in-Fact | 04/21/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The shares vest in three equal installments (rounded to the nearest whole share) on each of April 20, 2018, April 20, 2019 and April 20, 2020. |
(2) | These securities are held directly by Installed Building Systems, Inc. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |
(3) | These securities are held directly by PJAM IBP Holdings, Inc. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |
(4) | The securities are held by a trust for the benefit of one of the Reporting Person's children. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |
(5) | The securities are held by a trust for the benefit of one of the Reporting Person's children. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |
(6) | The securities are held by a trust for the benefit of one of the Reporting Person's children. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |
(7) | The securities are held by a trust for the benefit of one of the Reporting Person's children. The Reporting Person disclaims pecuniary interest in the reported securities except to the extent of his economic interest therein. |