SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Kamienski Kelly P

(Last) (First) (Middle)
16430 N. SCOTTSDALE ROAD
SUITE 400

(Street)
SCOTTSDALE AZ 85254

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/12/2021
3. Issuer Name and Ticker or Trading Symbol
CARLISLE COMPANIES INC [ CSL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Principal Accounting Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 769(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 02/05/2028 Common Stock 680 108.72 D
Employee Stock Option (Right to Buy) (3) 02/04/2029 Common Stock 855 110.79 D
Employee Stock Option (Right to Buy) (4) 02/03/2031 Common Stock 620 161.41 D
Employee Stock Option (Right to Buy) (5) 02/01/2031 Common Stock 1,010 150 D
Explanation of Responses:
1. Includes 495 restricted shares granted previously.
2. The option vests in three equal annual installments beginning February 6, 2019.
3. The option vests in three equal annual installments beginning February 5, 2020.
4. The option vests in three equal annual installments beginning February 4, 2021.
5. The option vests in three equal annual installments beginning February 2, 2022.
Remarks:
/s/ Kelly P. Kamiensky by Ronald P. Fuss, attorney-in-fact 02/24/2021
** 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 5 (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.
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