SEC FORM 3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
1000 CRANBERRY WOODS DRIVE |
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(Street)
CRANBERRY WOODS TOWNSHIP |
PA |
16066 |
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/01/2024
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3. Issuer Name and Ticker or Trading Symbol
MSA Safety Inc
[ MSA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
Senior Vice President |
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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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Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock, no par value |
4,826 |
D |
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
Remarks: |
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Richard W. Roda, Attorney in Fact |
06/04/2024 |
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** 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. |
POWER OF ATTORNEY
To Sign and File Reports under Section 16a
of the Securities Exchange Act of 1934
under Rule 144 or any other Filings Required
including Form ID and Schedule 13D
Under the Federal Securities Laws
With Respect to Securities of MSA Safety Incorporated
KNOW ALL MEN BY THESE PRESENTS that the undersigned
hereby constitutes and appoints Richard W Roda
Lee B McChesney and Jeffrey G Aromatorio and each of
them as the undersigneds true and lawful attorneysinfact
and agents with full power of substitution for the
undersigned and in the undersigneds name place and
stead to sign any and all reports of the undersigned
under Section 16a of the Securities Exchange Act
of 1934 under Rule 144 or any other filings required
including Form ID and Schedule 13D under the Federal
Securities Laws with respect to securities of MSA and
to file the same with the Securities and Exchange
Commission granting unto said attorneysinfact and
agents and each of them full power and authority to
do and perform each and every act and thing requisite
and necessary to be done as fully to all intents and
purposes as the undersigned might or could do in person
hereby ratifying and confirming all that said
attorneysinfact and agents or any of them or his her or
their substitute or substitutes may lawfully do or cause
to be done by virtue hereof The undersigned acknowledges
that the foregoing attorneysinfact in serving in such
capacity at the request of the undersigned are not
assuming any of the undersigneds responsibilities to
comply with the Federal Securities Laws
This Power of Attorney shall remain in effect unless
and until notice of its revocation shall have been filed
by the undersigned with the Securities and Exchange
Commission
IN WITNESS WHEREOF the undersigned has executed and
delivered this Power of Attorney the date set forth
below
Date May 29 2024
SIGNATURE
PRINT NAME David J Howells