FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person
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Weiss Daniel G |
2. Issuer Name
and
Ticker or Trading Symbol
TPI COMPOSITES, INC [ TPIC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__ X __ Director __ X __ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
2029 CENTURY PARK EAST, SUITE 2980 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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LOS ANGELES, CA 90067 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security
(Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 7/27/2016 | C | 4855470 (1) | A | (1) | 4855470 | I (2) | See Footnote (2) | ||
Common Stock | 7/27/2016 | P | 272727 (3) | A | (3) | 5128197 | I (2) | See Footnote (2) |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. 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 |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (4) | 7/27/2016 | C | 1192.517 | (4) | (4) | Common Stock | 1501455 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Series B Convertible Preferred Stock | (5) | 7/27/2016 | C | 180.7215 | (5) | (5) | Common Stock | 231846 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Series B-1 Convertible Preferred Stock | (6) | 7/27/2016 | C | 194.312 | (6) | (6) | Common Stock | 351460 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Series C Convertible Preferred Stock | (7) | 7/27/2016 | C | 1226.54 | (7) | (7) | Common Stock | 1449049 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Senior Redeemable Preferred Stock | (8) | 7/27/2016 | C | 170 | (8) | (8) | Common Stock | 809123 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Super Senior Redeemable Preferred Stock | (9) | 7/27/2016 | C | 85 | (9) | (9) | Common Stock | 404562 | $0.00 | 0 | I (2) | See Footnote (2) | |||
Subordinated Convertible Promissory Note | (10) | 7/27/2016 | C | 107975 | (10) | (10) | Common Stock | 107975 | $11.00 | 0 | I (2) | See Footnote (2) |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Weiss Daniel G
2029 CENTURY PARK EAST SUITE 2980 LOS ANGELES, CA 90067 |
X | X |
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Signatures
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/s/ Steven G. Fishbach, Attorney-in-Fact | 7/29/2016 | |
** Signature of Reporting Person |
Date
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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 control number. |