SEC Form 4 · accession 0000899243-18-013346
Apergy Corp · APY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Amy Thompson Broussard
Officer — Senior VP & Chief HR Officer
Period of report
May 15, 2018
Accepted (ET)
May 17, 2018 · 9:36 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001723089
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 15, 2018 | A | 2,136 | $0.00 | A | 2,419 | D | |
| Common Stock | May 16, 2018 | A | 10,419 | $0.00 | A | 12,838 | D | |
| Common StockF2 | holding | — | — | — | 147 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation Right | $31.55 | May 15, 2018 | A | 4,754 | A | May 15, 2018 | Feb 12, 2025 | Common Stock | 4,754 | 4,754 | D |
| Stock Appreciation Right | $24.65 | May 15, 2018 | A | 6,085 | A | Feb 11, 2019 | Feb 11, 2026 | Common Stock | 6,085 | 6,085 | D |
| Stock Appreciation Right | $34.13 | May 15, 2018 | A | 11,719 | A | Feb 10, 2020 | Feb 10, 2027 | Common Stock | 11,719 | 11,719 | D |
Explanation of responses
- F1Includes 283 shares received on May 9, 2018 in a pro rata distribution by Dover Corporation exempt from reporting.
- F2These shares were received on May 9, 2018 in a pro rata distribution by Dover Corporation exempt from reporting.