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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Belling Joseph A

(Last) (First) (Middle)
C/O CHART INDUSTRIES, INC.
3055 TORRINGTON DRIVE

(Street)
BALL GROUND GA 30107

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/12/2021
3. Issuer Name and Ticker or Trading Symbol
CHART INDUSTRIES INC [ GTLS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Commercial 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, par value $0.01 per share 5,073(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
Stock Option (Right to Buy) (2) 01/02/2029 Common stock, par value $0.01 per share 1,290 65.95 D
Stock Option (Right to Buy) (3) 01/02/2030 Common stock, par value $0.01 per share 2,390 68.8 D
Stock Option (Right to Buy) (4) 01/04/2031 Common stock, par value $0.01 per share 1,630 118.41 D
Explanation of Responses:
1. Total includes 204 restricted stock units ("RSUs") granted on January 2, 2019, 1,710 RSUs granted on May 21, 2019, 761 RSUs granted on January 2, 2020, 860 RSUs granted on January 4, 2021 and 760 RSUs granted on February 16, 2021 pursuant to the Chart Industries, Inc. 2017 Omnibus Equity Plan in exempt transactions under Rule 16b-3. Shares of common stock will be issued with respect to one-third (1/3) of the total number of shares on each of the three anniversaries of the date of grant, subject to tax withholding requirements, except with regard to the May 21, 2019 and February 16, 2021 RSU grants, which vest in full on May 21, 2022 and February 16, 2024, respectively (for each, the third anniversary of the date of grant).
2. These options were granted on January 2, 2019 pursuant to the Chart Industries, Inc. 2017 Omnibus Equity Plan in an exempt transaction under Rule 16b-3. These options vest with respect to one-fourth (1/4) of the total number of shares of common stock underlying the stock options on each of the first four anniversaries of the date of grant.
3. These options were granted on January 2, 2020 pursuant to the Chart Industries, Inc. 2017 Omnibus Equity Plan in an exempt transaction under Rule 16b-3. These options vest with respect to one-fourth (1/4) of the total number of shares of common stock underlying the stock options on each of the first four anniversaries of the date of grant.
4. These options were granted on January 4, 2021 pursuant to the Chart Industries, Inc. 2017 Omnibus Equity Plan in an exempt transaction under Rule 16b-3. These options vest with respect to one-fourth (1/4) of the total number of shares of common stock underlying the stock options on each of the first four anniversaries of the date of grant.
Remarks:
Exhibit List: Exhibit 24.1 -- Power of Attorney
/s/ Joseph A. Belling, by John F. Griffee IV, his attorney-in-fact 05/21/2021
** 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.
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.