SEC Form 4 · accession 0001209191-16-138821
BELDEN INC. · BDC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lance C Balk
Director
Period of report
Aug 26, 2016
Accepted (ET)
Aug 26, 2016 · 5:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000913142
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Depositary SharesF1,F3,F2,F4 | — | Aug 26, 2016 | P | 1,254 | A | — | Jul 15, 2019 | Common Stock | 1,662 | 6,254 | D |
Explanation of responses
- 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 12.54 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 $73.81 per share (the closing price on August 26, 2016), each share of the Preferred Stock would convert into 132.50 shares of Common Stock.