# EDGAR Filing Document

**Accession Number:** 0000764401
**File Stem:** 0001567619-23-002425
**Filing Date:** 2023-2
**Character Count:** 7322
**Document Hash:** 2d414782fe6b84f334495c5c925aaadf
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001567619-23-002425.hdr.sgml**: 20230213

**ACCESSION NUMBER**: 0001567619-23-002425

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221215

**FILED AS OF DATE**: 20230213

**DATE AS OF CHANGE**: 20230213

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** WOLTZ H O III
- **CENTRAL INDEX KEY:** 0001017475

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-09929
- **FILM NUMBER:** 23615125

**MAIL ADDRESS:**
- **STREET 1:** 1373 BOGGS DR
- **CITY:** MT AIRY
- **STATE:** NC
- **ZIP:** 27030
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** INSTEEL INDUSTRIES INC
- **CENTRAL INDEX KEY:** 0000764401
- **STANDARD INDUSTRIAL CLASSIFICATION:** STEEL WORKS, BLAST FURNACES & ROLLING & FINISHING MILLS [3310]
- **IRS NUMBER:** 560674867
- **STATE OF INCORPORATION:** NC
- **FISCAL YEAR END:** 0930

**BUSINESS ADDRESS:**
- **STREET 1:** 1373 BOGGS DR
- **CITY:** MOUNT AIRY
- **STATE:** NC
- **ZIP:** 27030
- **BUSINESS PHONE:** 3367862141

**MAIL ADDRESS:**
- **STREET 1:** 1373 BOGGS DRIVE
- **CITY:** MOUNT AIRY
- **STATE:** NC
- **ZIP:** 27030

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** EXPOSAIC INDUSTRIES INC
- **DATE OF NAME CHANGE:** 19880511

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

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>WOLTZ H O III<br><sub>(Last) (First) (Middle)</sub><br>1373 BOGGS DRIVE<br><sub>(Street)</sub><br>MOUNT AIRY, NC 27030<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-15 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chairman, President and CEO_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>INSTEEL INDUSTRIES INC [ IIIN ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2022-12-15 |  | G |  | 16040 | D | $0 | 488518 | D |  |
| Common Stock | 2023-02-11 |  | F |  | 1823 | D | $29.31 | 493485 | D |  |
| Common Stock - Restricted Stock Units |  |  |  |  |  |  |  | 25465 | D |  |
| Common Stock |  |  |  |  |  |  |  | 113328 | I | Co-trustee of Trusts created by Estate of Howard O. Woltz, Jr. |
| Common Stock |  |  |  |  |  |  |  | 57282 | I | Co-trustee of Woltz Foundation |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option (Right to Buy) | $32.77 |  |  |  |  |  |  | <sup>(1)</sup> | 2032-08-15 | Common Stock | 12456 |  | 12456 | D |  |
| Stock Option (Right to Buy) | $38.54 |  |  |  |  |  |  | <sup>(1)</sup> | 2032-02-15 | Common Stock | 9709 |  | 9709 | D |  |
| Stock Option (Right to Buy) | $41.87 |  |  |  |  |  |  | <sup>(1)</sup> | 2031-08-16 | Common Stock | 8656 |  | 8656 | D |  |
| Stock Option (Right to Buy) | $21.57 |  |  |  |  |  |  | <sup>(1)</sup> | 2029-02-12 | Common Stock | 6281 |  | 6281 | D |  |
| Stock Option (Right to Buy) | $18.25 |  |  |  |  |  |  | <sup>(1)</sup> | 2029-08-12 | Common Stock | 15408 |  | 15408 | D |  |
| Stock Option (Right to Buy) | $22.09 |  |  |  |  |  |  | <sup>(1)</sup> | 2030-02-11 | Common Stock | 13532 |  | 13532 | D |  |
| Stock Option (Right to Buy) | $19.86 |  |  |  |  |  |  | <sup>(1)</sup> | 2020-08-11 | Common Stock | 16949 |  | 16949 | D |  |
| Stock Option (Right to Buy) | $41.85 |  |  |  |  |  |  | <sup>(1)</sup> | 2028-08-13 | Common Stock | 10534 |  | 10534 | D |  |
| Stock Option (Right to Buy) | $34.49 |  |  |  |  |  |  | <sup>(1)</sup> | 2026-08-11 | Common Stock | 8643 |  | 8643 | D |  |
| Stock Option (Right to Buy) | $29.69 |  |  |  |  |  |  | <sup>(1)</sup> | 2028-02-13 | Common Stock | 14340 |  | 14340 | D |  |
| Stock Option (Right to Buy) | $37.06 |  |  |  |  |  |  | <sup>(1)</sup> | 2027-02-07 | Common Stock | 10981 |  | 10981 | D |  |

---

### Footnotes:

(1) Options vest 1/3 annually beginning one year from grant date.

**Signature:** James F. Petelle for H. O. Woltz III  
**Date:** 2023-02-13

### Remarks:

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.**