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*
| 11700 PLAZA AMERICA DRIVE |
| SUITE 500 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
01/01/2016
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3. Issuer Name and Ticker or Trading Symbol
NVR INC
[ NVR ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| President of Homebuilding Ops |
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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)
| X |
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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| NVR, Inc. common stock |
4,473 |
D |
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| NVR, Inc. common stock |
2,220 |
I |
By ESOP Trust |
| NVR, Inc. common stock |
114 |
I |
By Profit Sharing Trust |
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 |
| Employee stock option (right to buy) |
|
01/02/2018 |
common stock |
1,500 |
515.05 |
D |
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| Employee stock option (right to buy) |
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11/30/2018 |
common stock |
4,000 |
434.25 |
D |
|
| Employee stock option (right to buy) |
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04/30/2019 |
common stock |
5,000 |
505.37 |
D |
|
| Employee stock option (right to buy) |
|
05/10/2020 |
common stock |
8,822 |
703 |
D |
|
| Employee stock option (right to buy) |
|
02/28/2021 |
common stock |
4,000 |
727.86 |
D |
|
| Employee stock option (right to buy) |
|
05/13/2024 |
common stock |
9,000
|
1,094.22 |
D |
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| Explanation of Responses: |
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| Remarks: |
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|
Jeffrey D. Martchek |
01/05/2016 |
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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
Know all by these presents, that the undersigned hereby
constitutes and appoints each Daniel D. Malzahn and Eugene J. Bredow,
singly and not jointly, the undersigned's true and lawful
attorney-in-fact to:
1) execute for and on behalf of the undersigned, in the
undersigned's capacity as an executive officer of NVR, Inc.,
Form 144 pursuant to Rule 144 under the Securities Act of 1933 and
Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities
Exchange Act of 1934 and the rules thereunder;
2) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute
any such Form 144, 3, 4 or 5, complete and execute any amendment(s)
thereto, and timely file such form with the United States Securities and
Exchange Commission and any stock exchange or similar authority; and
3) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally required by, the undersigned.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever
requisite, necessary and proper to be done in the exercise of any of the
rights and powers herein granted, as fully to all intents and purposes as
the undersigned might or could do if personally present, with full power
of substitution or revocation, hereby ratifying and confirming all that
such attorney-in-fact shall lawfully do or cause to be done by virtue of
this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving
in such capacity at the request of the undersigned, are not assuming any
of the undersigned's responsibilities to comply with Rule 144 of the
Securities Act of 1933 and Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 144, 3, 4, and 5 with
respect to the undersigned's holdings of and transactions in securities
issued by the Company, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 5th day of January, 2016.
/s/ Jeffrey D. Martchek
Signature
Jeffrey D. Martchek
Print Name
