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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Option | $ 2.25 | 02/22/2005 | M | 7,300 | 02/23/2001(1) | 02/24/2005 | Common Stock | 7,300 | $ 0 | 14,600 (2) | D | ||||
Common Stock Option | $ 2.25 | 02/23/2005 | M | 14,600 | 02/23/2001(1) | 02/24/2005 | Common Stock | 14,600 | $ 0 | 0 (3) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LESTER JOSEPH P |
VP and General Manager |
Joel D. Knudson, attorney in fact | 02/23/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | The common stock option vested in the following amounts on the following dates: 20,000 shares vested on February 23, 2001; 20,000 shares vested on February 23, 2002; and 10,000 shares vested on February 23, 2003. |
(2) | Pursuant to a Qualified Domestic Relations Order ("QDRO") entered into between the reporting person and the reporting person's former spouse, the economic benefits associated with 27% of the shares underlying the common stock option were transferred by the reporting person to his former spouse. The reporting person disclaims beneficial ownership in the shares transferred pursuant to the QDRO. Consequently, the amount of the common stock option that was exercised for the benefit of the reporting person was 73% of 10,000 and the amount of the common stock option beneficially owned after the exercise was 73% of 20,000. |
(3) | As a result of the QDRO, the amount of the common stock that was exercised for the benefit of the reporting person was 73% of 20,000 and the amount of the common stock option beneficially owned after the exercise was 0. Additionally, pursuant to the QDRO the reporting person disposed of the portion of this common stock option deemed to be owned by his ex-spouse. |