SEC Form 4 · accession 0001348875-18-000004
DOVER Corp · DOV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay L Kloosterboer
Officer — Senior Vice President
Period of report
May 23, 2018
Accepted (ET)
May 25, 2018 · 4:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000029905
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 23, 2018 | M | 33,345 | $49.49 | A | 56,441 | D | |
| Common Stock | May 23, 2018 | D | 20,813 | $79.2925 | D | 35,628 | D | |
| Common Stock | May 23, 2018 | F | 5,006 | $79.2925 | D | 30,622 | D | |
| Common Stock | May 23, 2018 | M | 33,963 | $48.59 | A | 64,585 | D | |
| Common Stock | May 23, 2018 | D | 20,813 | $79.2925 | D | 43,772 | D | |
| Common Stock | May 23, 2018 | F | 5,931 | $79.2925 | D | 37,841 | D | |
| Common Stock | holding | — | — | — | 2,315 | 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 RightF1 | $49.49 | May 23, 2018 | M | 33,345 | D | Feb 10, 2014 | Feb 10, 2021 | Common Stock | 33,345 | 0 | D |
| Stock Appreciation RightF1 | $48.59 | May 23, 2018 | M | 33,963 | D | Feb 9, 2015 | Feb 9, 2022 | Common Stock | 33,963 | 0 | D |
Explanation of responses
- F1The Reporting Person's outstanding Issuer equity awards, including the SSARs the exercise of which is being reported on this Form 4, have been adjusted in connection with the separation of Apergy Corporation from the Issuer that was effected on May 9, 2018, to preserve the value of the Issuer securities as contemplated in the Employee Matters Agreement that was entered into by the Issuer and Apergy Corporation on that date.