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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/01/2016 |
3. Issuer Name and Ticker or Trading Symbol
Alcoa Corp [ AA ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 | 1,111(1) | D | |
Common Stock, par value $0.01 per share | 558(1) | I | By Trust(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Phantom Stock Units(3) | (3) | (3) | Common Stock | 33,464(4) | (4) | D |
Explanation of Responses: |
1. Shares of Alcoa Corporation ("Alcoa") common stock were received by the reporting person pursuant to the distribution paid by Alcoa Inc. (now renamed Arconic Inc.) ("Arconic" or "Parent") on November 1, 2016, to Parent shareholders of record as of October 20, 2016 (the "Record Date"), of one share of Alcoa common stock for every three shares of Parent common stock held on the Record Date (the "Distribution"), pursuant to the separation and distribution agreement, dated October 31, 2016, between Alcoa and Parent. |
2. These shares are held by a trust of which the reporting person and his spouse are trustees and beneficiaries. |
3. Holdings result from the conversion of phantom stock units (acquired under the Alcoa Inc. 2005 Deferred Fee Plan for Directors) in connection with the Distribution pursuant to the terms of the employee matters agreement, dated as of October 31, 2016, between Alcoa and Arconic. Phantom stock units will be paid out in cash after Board service ends. |
4. Each phantom stock unit is the economic equivalent of one share of Alcoa common stock. |
Remarks: |
Exhibit List - Exhibit 24 - Power of Attorney - James W. Owens |
/s/ Marissa Earnest (Assistant Secretary), by power of attorney | 11/14/2016 | |
** 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. |