SEC Form 4 · accession 0001348875-19-000003
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
Jan 31, 2019
Accepted (ET)
Feb 4, 2019 · 4:00 pm EST
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 StockF1 | Jan 31, 2019 | M | 32,960 | $53.40 | A | 56,787 | D | |
| Common Stock | Jan 31, 2019 | M | 31,074 | $61.79 | A | 87,861 | D | |
| Common Stock | Jan 31, 2019 | D | 41,425 | $88.84 | D | 46,436 | D | |
| Common Stock | Jan 31, 2019 | F | 10,246 | $88.84 | D | 36,190 | D | |
| Common Stock | holding | — | — | — | 2,356 | 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 | $53.40 | Jan 31, 2019 | M | 32,960 | D | Feb 14, 2016 | Feb 14, 2023 | Common Stock | 32,960 | 0 | D |
| Stock Appreciation Right | $61.79 | Jan 31, 2019 | M | 31,074 | D | Feb 12, 2018 | Feb 12, 2025 | Common Stock | 31,074 | 0 | D |
Explanation of responses
- F1Reflects adjustments to unvested restricted stock unit awards 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.