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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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*
Blosser Michael W

(Last) (First) (Middle)
414 UNION STREET

(Street)
NASHVILLE TN 37219

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LOUISIANA-PACIFIC CORP [ LPX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Manufacturing Services
3. Date of Earliest Transaction (Month/Day/Year)
02/10/2022
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 02/10/2022 M 3,796(1) A $67.89 204,593 D
Common Stock 02/10/2022 F 1,552 D $67.89 203,041 D
Common Stock 02/10/2022 A 3,240(2) A $68.61 206,281 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
Performance Stock Unit $0.00 02/10/2022 A 3,240(3) 02/10/2025 02/10/2025 Common Stock 3,240 $0.00 3,240 D
Performance Stock Unit $0.00 02/10/2022 M 3,796(3) 02/10/2022 02/10/2022 Common Stock 3,796 $0.00 0 D
Explanation of Responses:
1. 2019 Performance Unit vested at 120% payout including accumulated dividend on performance shares.
2. Consists of Restricted Stock Units granted pursuant to Louisiana Pacific Corporation 2013 Omnibus plan. Shares vest 1/3 annually on each anniversary of the date of grant.
3. Each performance share converts into the number of shares of Common Stock by applying a payout factor to the target number of shares vesting on a given date. The payout factor can be from 0 to 200% depending on performance realized.
Remarks:
/s/ Nicole Daniel, Attorney-in-Fact 02/14/2022
** 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).
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