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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1. Name and Address of Reporting Person*
Blosser Michael W

(Last) (First) (Middle)
414 UNION STREET

(Street)
NASHVILLE TN 37219

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/01/2021
3. Issuer Name and Ticker or Trading Symbol
LOUISIANA-PACIFIC CORP [ LPX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Manufacturing Services
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 203,424(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 Settled Stock Appreciation Right (2) (2) Common Stock 9,349 18.09 D
Stock Settled Stock Appreciation Right (2) (2) Common Stock 7,500 17.04 D
Stock Settled Stock Appreciation Right (2) (2) Common Stock 10,944 15.74 D
Stock Settled Stock Appreciation Right (2) (2) Common Stock 6,493 19.14 D
Explanation of Responses:
1. Awards granted pursuant to Louisiana-Pacific 2013 Omnibus Plan. An award of 6,006 Restricted Stock Units ("RSUs") was granted on February 7, 2019 and vests in full on February 7, 2022. An award of 4,316 RSUs was granted on February 6, 2020, of which one third vested on the first anniversary of the grant date, one third vests on the second anniversary of the grant date, and one third vests on the third anniversary of the grant date. An award of 4,133 RSUs was granted on February 12, 2021 and vests one third on each of the anniversaries of the grant date. RSUs convert into Common Stock on a one-for-one basis as of the date of vesting. RSUs earn dividends in equivalent shares
2. Awards granted pursuant to Louisiana-Pacific 2013 Omnibus Plan. Each award of Stock Settled Stock Appreciation Rights ("SSARs") was fully vested prior to the date on which the Reporting Person became subject to Section 16. SSARs expire ten years from the grant date
Remarks:
/s/Nicole Daniel, Attorney-in-Fact 12/10/2021
** 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).
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LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS


	KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints Nicole Daniel and Teresa Frogge, and each of them, as the true and
lawful attorney or attorneys-in-fact, with full power of substitution and
revocation, for the undersigned and in the name, place and stead of the
undersigned, in any and all capacities, to execute, on behalf of the
undersigned, (1) any and all notices pursuant to Rule l44 under the Securities
Act of 1933 with respect to sales of shares of common stock, par value $1 per
share, or other securities, of Louisiana-Pacific Corporation, including, without
limitation, all notices of proposed sale on Form 144, and (2) any and all
statements or reports under Section 16 of the Securities Exchange Act of 1934
with respect to the beneficial ownership of common stock, par value $1 per
share, or other securities, of Louisiana-Pacific Corporation, including, without
limitation, all initial statements of beneficial ownership on Form 3, all
statements of changes in beneficial ownership on Form 4, all annual statements
of beneficial ownership on Form 5 and all successor or similar forms, to be
filed with the Securities and Exchange Commission, to execute any and all
amendments or supplements to any such notices, statements or reports, and to
file the same, with all exhibits thereto, and other documents in connection
therewith, with the Securities and Exchange Commission, granting to said
attorney or attorneys-in-fact, and each of them, full power and authority to do
so and perform each and every act and thing requisite and necessary to be done
in and about the premises (including, without limitation, completing, executing,
delivering and filing a Form ID to apply for electronic filing codes), as fully
and to all intents and purposes as the undersigned might or could do in person,
and hereby ratifying and confirming all that said attorney or attorneys-in-fact,
or any of them, or their substitute or substitutes, may lawfully do or cause to
be done by virtue hereof.

The undersigned acknowledges that the foregoing attorneys-in-fact, and each of
them, in serving in such capacity at the request of the undersigned, are not
assuming any of the responsibilities of the undersigned to comply with Section
16 of the Securities Exchange Act of 1934 or any other legal requirement. This
Power of Attorney shall remain in effect until revoked in writing by the
undersigned

Date: October 22, 2021

/s/Michael W. Blosser
Name: Michael W. Blosser