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Doty Elmer L

Filed: 20 Aug 19, 4:02pm
SEC Form 4
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DOTY ELMER L

(Last)(First)(Middle)
390 PARK AVENUE

(Street)
NEW YORK,NY10022

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
Arconic Inc. [ ARNC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirector10% Owner
Officer (give title below)Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/16/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8)4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock08/16/2019M101,122(1)A(1)113,827D
Common Stock08/16/2019F37,910(2)D$24.8475,917D
Common Stock6,000IBy Trust(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)2. Conversion or Exercise Price of Derivative Security3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8)5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)8. Price of Derivative Security (Instr. 5)9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Restricted Stock Unit(4)08/16/2019M101,122(5)(5)Common Stock101,122$00(6)D
Explanation of Responses:
1. Acquisition of common stock upon vesting and settlement of restricted stock units. Each restricted stock unit converted into common stock on a one-for-one basis.
2. Represents payment of tax liability by delivering or withholding shares incident to the vesting of a stock award issued in accordance with Rule 16b-3.
3. Revocable living trust of which the reporting person and his spouse are trustees and beneficiaries, with voting and investment power.
4. Each restricted stock unit represents a contingent right to receive one share of common stock of Arconic Inc. ("Arconic") or, at Arconic's election, cash equivalent to the fair market value thereof.
5. On February 15, 2019, the reporting person was granted 385,000 restricted stock units, generally vesting in two equal installments on the first and second anniversary of February 6, 2019, contingent on the reporting person's continued service as Chief Operating Officer through each applicable vesting date and subject to prorated or full vesting upon the occurrence of certain events. On August 16, 2019, in connection with the reporting person's cessation of service as Chief Operating Officer of Arconic, 101,122 restricted stock units vested and the remaining 283,878 restricted stock units were forfeited. The vested restricted stock units were settled in shares of Arconic common stock as described above.
6. The amount of securities beneficially owned reflects the forfeiture of 283,878 restricted stock units in connection with the reporting person's cessation of service as Chief Operating Officer of Arconic, effective August 16, 2019. The acquisition of these restricted stock units was previously reported in Table II of the reporting person's Form 4 on February 19, 2019.
Remarks:
/s/ Margaret Lam (Assistant Secretary), by power of attorney08/20/2019
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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