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*
Vermette Michel

(Last) (First) (Middle)
C/O ARMSTRONG FLOORING, INC.
2500 COLUMBIA AVENUE, P.O. BOX 3025

(Street)
LANCASTER PA 17603

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Armstrong Flooring, Inc. [ AFI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
03/24/2020
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
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 Restricted Stock Unit (1) 03/24/2020 A 227,500 (2) (2) Common Stock 227,500 $0.00 227,500 D
Performance Restricted Stock Unit (1) 04/01/2021 A 173,664 (3) (3) Common Stock 173,664 $0.00 173,664 D
Restricted Stock Units (1) 04/01/2021 A 49,618 (4) (4) Common Stock 49,618 $0.00 49,618 D
Explanation of Responses:
1. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock under the Issuer's 2016 Long-Term Incentive Plan as amended and restated (the "Plan").
2. The restricted stock units were granted to the Reporting Person on March 24, 2020 under the Plan and will be earned contingent upon the Issuer's common stock achieving the per share price targets set forth in the award agreement as determined by the average closing price of the Issuer's common stock over the twenty (20) days immediately following the date of the Issuer's 2023 release of fourth quarter and full year 2022 results such date to be determined by the Issuer's Board of Directors (contingent upon the Reporting Person's employment with the Issuer through the applicable measurement date, subject to the terms of the award agreement).
3. The restricted stock units were granted to the Reporting Person on April 1, 2021 under the Plan and will be earned contingent upon the Issuer's common stock achieving the per share price targets set forth in the award agreement as determined by the average closing price of the Issuer's common stock over the twenty (20) days immediately following the date of the Issuer's 2024 release of fourth quarter and full year 2023 results such date to be determined by the Issuer's Board of Directors (contingent upon the Reporting Person's employment with the Issuer through the applicable measurement date, subject to the terms of the award agreement).
4. The restricted stock units were granted to the Reporting Person on April 1, 2021 under the Plan. The restricted stock units will vest in equal installments on the first, second and third anniversaries of the grant (contingent upon the Reporting Person's employment with the Issuer on the scheduled vesting date, subject to the terms of the award agreement).
Remarks:
/s/Christopher S. Parisi, as Attorney-in-Fact 04/05/2021
** 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 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.