SEC Filing | UNIFI, Inc.

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SEC FORM 3 SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

SMOSNA CHRISTOPHER A

(Last)

(First)

(Middle)

7201 W. FRIENDLY AVENUE

(Street)

GREENSBORO

27410

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
12/20/2018

3. Issuer Name and Ticker or Trading Symbol
UNIFI INC [ UFI ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
VP, Treasurer & Interim CFO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	1,263⁽¹⁾	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (Right to Buy)	⁽²⁾	07/22/2024	Common Stock	5,000	27.38	D
Employee Stock Option (Right to Buy)	⁽³⁾	07/22/2025	Common Stock	5,000	32.36	D
Employee Stock Option (Right to Buy)	⁽⁴⁾	10/26/2026	Common Stock	5,000	29.09	D
Employee Stock Option (Right to Buy)	⁽⁵⁾	03/01/2028	Common Stock	1,538	35.09	D
Employee Stock Option (Right to Buy)	⁽⁶⁾	10/30/2028	Common Stock	2,000	23.76	D

Explanation of Responses:

1. Consists of (i) 550 restricted stock units which vest over a three-year period, with 25% vesting on April 1, 2019, 25% vesting on March 1, 2020 and 50% vesting on March 1, 2021; and (ii) 713 restricted stock units which vest over a three-year period, with 25% vesting on November 30, 2019, 25% vesting on October 30, 2020 and 50% vesting on October 30, 2021. The restricted stock units were granted to the reporting person from the issuer for services as an officer of the issuer, and each restricted stock unit represents a right to receive one share of the issuer's common stock.

2. The option became exercisable in three equal annual installments on July 22 of each of 2015, 2016 and 2017.

3. The option became exercisable in three equal annual installments on July 22 of each of 2016, 2017 and 2018.

4. The option became exercisable as to 1,667 shares on October 26 of each of 2017 and 2018 and becomes exercisable as to 1,666 shares on October 26, 2019.

5. The option becomes exercisable over a three-year period, with 25% vesting on March 1, 2019, 25% vesting on March 1, 2020 and 50% vesting on March 1, 2021.

6. The option becomes exercisable over a three-year period, with 25% vesting on October 30, 2019, 25% vesting on October 30, 2020 and 50% vesting on October 30, 2021.

Remarks:

	/s/ Christopher A. Smosna	08/07/2019
	** 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 5 (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.