SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED 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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| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FLEXSTEEL INDUSTRIES INC
[ FLXS ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year)
11/21/2019
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
11/21/2019 |
|
M |
|
2,500 |
A |
$8.55
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18,547 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Option 12/08/2009 |
$8.55
|
11/21/2019 |
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M |
|
|
2,500 |
12/08/2009 |
12/08/2019 |
Common Stock |
2,500 |
$0
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0 |
D |
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| Option 12/07/2010 |
$17.23
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|
|
|
|
|
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12/07/2010 |
12/07/2020 |
Common Stock |
2,500 |
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2,500 |
D |
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| Option 12/13/2011 |
$13.75
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|
|
|
|
|
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12/13/2011 |
12/13/2021 |
Common Stock |
2,500 |
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2,500 |
D |
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| Option 12/11/2012 |
$19.72
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|
|
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12/11/2012 |
12/11/2022 |
Common Stock |
2,500 |
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2,500 |
D |
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| Option 12-10-2013 |
$27.38
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|
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12/10/2013 |
12/10/2023 |
Common Stock |
2,750 |
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2,750 |
D |
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| Option 12/09/2014 |
$32.13
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|
|
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12/09/2014 |
12/09/2024 |
Common Stock |
2,750 |
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2,750 |
D |
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| Explanation of Responses: |
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/s/ Dena A. Lang, attorney-in-fact |
11/21/2019 |
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** Signature of Reporting Person |
Date |
| 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). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
POWER OF ATTORNEY For Executing Forms 3, 4, 5 and 144
The undersigned hereby constitutes and appoints each of Becca Kuhle
and Dena A. Lang, signing singly, as his or her true and lawful
attorney-in-fact, for such period of time that the undersigned is
required to file reports pursuant to Section 16(a) of the
Securities Exchange Act of 1934, as amended (the ?Exchange Act?),
or Rule 144 of the Securities Act of 1933, as amended
(the "Securities Act"), due to his or her affiliation with
Flexsteel Industries, Inc., a Minnesota corporation, unless
earlier revoked by the undersigned in a signed writing delivered
to the foregoing attorneys-in-fact, to:
1) execute for and on behalf of the undersigned Forms 3, 4, 5 and 144
and any amendments to previously filed forms in accordance with
Section 16(a) of the Exchange Act or Rule 144 of the Securities
Act and the rules thereunder;
2) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete
the execution of any such Forms 3, 4, 5 and 144 and the timely
filing of such form with the United States Securities and Exchange
Commission and any other authority as required by law; and
3) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney-in-fact, may be
of benefit to, in the best interest of or legally required by the
undersigned, it being understood that the documents executed by
such attorney-in-fact on behalf of the undersigned pursuant to this
Power of Attorney shall be in such form and shall contain such terms
and conditions as such attorney-in-fact may approve in his or
her discretion.
The undersigned hereby grants to each such attorney-in-fact
full power and authority to do and perform all and every act
and thing whatsoever requisite, necessary and proper to be done
in the exercise of any of the rights and powers herein granted,
as fully to all intents and purposes as the undersigned could do
if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such
attorney-in-fact, or his or her substitute or substitutes,
shall lawfully do or cause to be done by virtue of this
Power of Attorney and the rights and powers herein granted.
The undersigned acknowledges that the foregoing attorneys-in-fact,
in serving in such capacity at the request of the undersigned,
are not assuming any of the undersigned's responsibilities
to comply with Section 16 of the Exchange Act or Rule 144
of the Securities Act.
Signed and acknowledged:
/s/ Eric S. Rangen
