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 APPROVAL |
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*
C/O ALBANY INTERNATIONAL CORP. |
216 AIRPORT DRIVE |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ALBANY INTERNATIONAL CORP /DE/
[ AIN ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
CFO & Treasurer |
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3. Date of Earliest Transaction
(Month/Day/Year) 11/11/2012
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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 |
Class A Common Stock |
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2,648 |
I |
By 401(k) |
Class A Common Stock |
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3,889 |
D |
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Class A Common Stock
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11/11/2012 |
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M |
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171 |
A |
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171
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D
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Class A Common Stock
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11/11/2012 |
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D |
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171 |
D |
$21.75
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0 |
D
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Class A Common Stock
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11/11/2012 |
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M |
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168 |
A |
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168
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D
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Class A Common Stock
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11/11/2012 |
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D |
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168 |
D |
$21.75
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0 |
D
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Class A Common Stock
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11/11/2012 |
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M |
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257 |
A |
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257
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D
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Class A Common Stock
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11/11/2012 |
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D |
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257 |
D |
$21.75
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0 |
D
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Class A Common Stock
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11/11/2012 |
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M |
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628 |
A |
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628
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D
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Class A Common Stock
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11/11/2012 |
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D |
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628 |
D |
$21.75
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0 |
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 |
Employee Stock Option
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$20.63
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11/07/2022 |
Class A Common |
300 |
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300 |
D |
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Restricted Stock Units
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11/11/2012 |
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M |
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171 |
11/11/2008
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Class A Common Stock |
171
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0 |
D |
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Restricted Stock Units
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11/11/2012 |
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M |
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168 |
11/11/2009
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Class A Common Stock |
336
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168
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D |
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Restricted Stock Units
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11/11/2012 |
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M |
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257 |
11/11/2010
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Class A Common Stock |
772
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515
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D |
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Restricted Stock Untis
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11/11/2012 |
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M |
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628 |
11/11/2011
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Class A Common Stock |
2,513
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1,885
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D |
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Explanation of Responses: |
Remarks: |
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Kathleen M. Tyrrell, Attorney-in-Fact |
11/13/2012 |
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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. |
AUTHORIZATION TO SIGN SEC FORMS 3 AND 4 AND
NOTICE OF PROPOSED SALE OF SECURITIES (FORM 144)
The undersigned, as an officer and/or director of
Albany International Corp., a Delaware corporation
("the Company"), hereby authorizes CHARLES J. SILVA,
JR., JOSEPH M. GAUG AND KATHLEEN M. TYRRELL, and
each of them with full power to act without the
others, to sign and file, or cause to be filed,
on behalf of the undersigned, any forms and other
documents, including without limitation, Forms
3 and 4 or any other forms hereafter substitute
therefor, required or permitted to be filed by
the undersigned pursuant to Section 16(a)
of the Securities Exchange Act of 1934, as
amended, or rules or regulations promulgated
thereunder, and Notice of Proposed Sale of
Securities pursuant to Rule 144 under the
Securities Act of 1933.
The authorization of a person named above shall
automatically terminate at such time as such
person ceases to be an employee of the Company.
The undersigned may terminate the authorization
of any such person at any time by delivering
written notice of termination to the Company.
Date February 27, 2009
/s/ John B. Cozzolino