Sec Form 4 Filing - Kubera Thomas Robert @ SIFCO INDUSTRIES INC - 2019-11-25

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Kubera Thomas Robert
2. Issuer Name and Ticker or Trading Symbol
SIFCO INDUSTRIES INC [ SIF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Financial Officer
(Last) (First) (Middle)
970 E. 64TH STREET
3. Date of Earliest Transaction (MM/DD/YY)
11/25/2019
(Street)
CLEVELAND, OH44103
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
SIFCO Industries, Inc. Common Stock 11/25/2019 A 14,000 A 14,000 D
SIFCO Industries, Inc. Common Stock 4,795 ( 2 ) D
SIFCO Industries, Inc. Common Stock 3,325 ( 3 ) D
SIFCO Industries, Inc. Common Stock 2,925 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 Benefici al Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Kubera Thomas Robert
970 E. 64TH STREET
CLEVELAND, OH44103
Chief Financial Officer
Signatures
/s/ Elizabeth Button - by power of attorney 11/27/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Awarded 14,000 restricted shares of SIFCO Industries, Inc. common stock. Restriction to lapse on the day immediately preceding the three year anniversary date of such award.
( 2 )On November 14, 2018, 4,795 restricted shares of SIFCO Industries, Inc. common stock were awarded. Restriction to lapse on the day immediately preceding the three year anniversary date of such award.
( 3 )On November 15, 2017, 3,325 restricted shares of SIFCO Industries, Inc. common stock were awarded. Restriction to lapse on the day immediately preceding the three year anniversary date of such award.

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* 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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