SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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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). |
1. Name and Address of Reporting Person*
| 3556 LAKE SHORE ROAD |
| P.O. BOX 2028 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
GIBRALTAR INDUSTRIES, INC.
[ ROCK ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year)
07/14/2017
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction 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 |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
|
|
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|
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529 |
D |
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| Common Stock (Restricted) |
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2,936 |
D |
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| Deferred Stock Units |
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4,423 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
|
Restricted Stock Unit (MSPP Post-2012)
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|
07/14/2017 |
|
A |
|
79.64 |
|
|
|
Common Stock |
79.64 |
$39.24
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7,125.97 |
D |
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Restricted Stock Unit (MSPP Match Post-2012)
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Common Stock |
2,240.12 |
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2,240.12 |
D |
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| Explanation of Responses: |
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| Remarks: |
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/s/ Paul J. Schulz, Attorney in Fact for Craig A. Hindman |
07/18/2017 |
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** 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 Number. |
CRAIG A. HINDMAN
LIMITED POWER OF ATTORNEY
FOR SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that
the undersigned hereby makes, constitutes
and appoints each of Michael E. Storck,
Paul J. Schulz and Elise M. DeRose each
acting individually, as the undersigned's
true and lawful attorney-in-fact, with full
power and authority as hereinafter
described on behalf of and in the name,
place and stead of the undersigned to:
(1) prepare, execute, acknowledge,
deliver and file Forms 3, 4, and 5 (including
any amendments thereto) with respect to
the securities of Gibraltar Industries, Inc.,
a Delaware corporation (the "Company"),
with the United States Securities and
Exchange Commission, any national securities
exchanges and the Company, as considered
necessary or advisable under Section 16(a)
of the Securities Exchange Act of 1934 and
the rules and regulations promulgated
thereunder, as amended from time to time
(the "Exchange Act");
(2) seek or obtain, as the
undersigned's representative and on
the undersigned's behalf, information on
transactions in the Company's securities
from any third party, including brokers,
employee benefit plan administrators and
trustees, and the undersigned hereby authorizes
any such person to release any such
information to each of the undersigned's
attorneys-in-fact appointed by this Power of
Attorney and approves and ratifies any such
release of information; and
(3) perform any and all other acts
which in the discretion of such attorney-in-fact
are necessary or desirable for and on behalf of
the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but
does not require, each such attorney-in-fact to act
in their discretion on information provided to such
attorney-in-fact without independent verification
of such information;
(2) any documents prepared and/or executed
by either such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney
will be in such form and will contain such
information and disclosure as such attorney-in-fact,
in his or her discretion, deems necessary or desirable;
(3) neither the Company nor either of
such attorneys-in-fact assumes (i) any liability
for the undersigned's responsibility to comply
with the requirement of the Exchange Act, (ii)any
liability of the undersigned for any failure to
comply with such requirements, or (iii) any obligation
or liability of the undersigned for profit disgorgement
under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve
the undersigned from responsibility for compliance
with the undersigned's obligations under the
Exchange Act, including without limitation the
reporting requirements under Section 16 of the Exchange Act.
The undersigned hereby gives and grants
each of the foregoing attorneys-in-fact full
power and authority to do and perform all and
every act and thing whatsoever requisite, necessary
or appropriate to be done in and about the foregoing
matters as fully to all intents and purposes as the
undersigned might or could do if present, hereby
ratifying all that each such attorney-in-fact of,
for and on behalf of the undersigned, shall
lawfully do or cause to be done by virtue of
this Limited Power of Attorney.
This Power of Attorney shall remain in full
force and effect until revoked by the undersigned
in a signed writing delivered to each such
attorney-in-fact.
IN WITNESS WHEREOF, the undersigned
has caused this Power of Attorney to
be executed as of this ____ day of October, 2014.
___________________________________
Craig A. Hindman
STATE OF NEW YORK
SS:
COUNTY OF __________
On the ____ day of October
in the year 2014, before me, the
undersigned, a notary public in and
for said state, personally appeared
Craig A. Hindman, an individual(s) whose
name(s) is (are) subscribed to the within
instrument and acknowledged to me that h
e/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their
signature(s) on the instrument, the individual(s)
or the person upon behalf of which the
individual(s) acted, executed the instrument.
_____________________________
Notary Public
