SEC Form 4 · accession 0001209191-16-133722

BELDEN INC. · BDC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Jul 21, 2016

Accepted (ET)

Jul 22, 2016 · 4:39 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000913142

Table I — non-derivative securities

Security	Date	Code	Shares	A/D	Owned after	D/I	Nature of ownership
Common Stock	holding	—	—	—	23,185	D
Common Stock	holding	—	—	—	4,290	I	Revocable Trust
Common Stock	holding	—	—	—	16,820	I	Charitable Remainder Unitrust
Common Stock	holding	—	—	—	46,181	I	Family Investment LLC

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Depositary Shares^F1,F3,F2,F4	—	Jul 21, 2016	P	2,500	A	—	Jul 15, 2019	Common Stock	3,313	2,500	D

F1Each Depositary Share represents a 1/100th interest in a share of Belden Inc.'s 6.75% Series B Mandatory Convertible Preferred Stock.
F2The conversion price of the Preferred Stock on the mandatory conversion date (July 15, 2019) is dependent upon the average market value of the Common Stock for a period of time prior to the mandatory conversion date as set forth in the Pricing Term Sheet filed with the SEC as a Free Writing Prospectus on July 20, 2016. The Preferred Stock automatically converts into Common Stock on July 15, 2019, but holders may elect to convert shares of the Preferred Stock into Common Stock at any time prior to such date at a conversion price of 120.46 shares of Common Stock per share of the Preferred Stock.
F3This represents 25 shares of the Preferred Stock.
F4See note (2). If the average market value of the Common Stock during the period of time indicated in note (2) prior to the mandatory conversion date were $71.72 per share (the closing price on July 21, 2016), each share of the Preferred Stock would convert into 132.50 shares of Common Stock.