Document





UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

 
FORM SD
Specialized Disclosure Report

 
Cavco Industries, Inc.
(Exact name of registrant as specified in its charter)

 

Delaware
 
000-08822
 
56-2405642
(State or other jurisdiction
of incorporation)
 
(Commission
File Number)
 
(IRS Employer
Identification No.)

1001 North Central Avenue, Suite 800,
Phoenix, Arizona 85004
(Address of principal executive offices, including zip code)
Daniel L. Urness
(602) 256-6263
(Name and telephone number, including area code, of the person to contact in connection with this report.)

 
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:

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Rule 13p-1under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2016.










Section 1 – Conflict Minerals Disclosure
Item 1.01. Conflict Minerals Disclosure and Report
The Conflict Minerals Report for the calendar year ended December 31, 2016 filed herewith as Exhibit 1.01, is publicly available at: http://investor.cavco.com.
Item 1.02. Exhibit
The Conflict Minerals Report required by Item 1.01 is filed as Exhibit 1.01 to this Form SD.

Section 2 – Exhibits
Item 2.01. Exhibits
The following exhibit is filed as part of this report:
Exhibit 1.01 — Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.






SIGNATURES


Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

CAVCO INDUSTRIES, INC.
By:
/s/ Daniel L. Urness
 
Daniel L. Urness
 
Executive Vice President, Treasurer
 
and Chief Financial Officer
 
 
Date:
May 31, 2017