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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 | ||||||||
Stock Option | $ 13.25 | 02/11/2000 | 02/11/2009 | Common Stock | 2,500 | 2,500 | D | ||||||||
Stock Option | $ 7.25 | 03/08/2001 | 03/08/2010 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Option | $ 7.25 | 03/06/2002 | 03/06/2011 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Option | $ 7.1 | 01/23/2003 | 01/23/2012 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Option | $ 10.41 | 01/22/2004 | 01/22/2013 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Option | $ 14.4 | 01/21/2005 | 01/21/2014 | Common Stock | 5,000 | 5,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HAGMAN WILLIAM R JR 224 VIA NAPOLI NAPLES, FL 34105 |
X |
William R. Hagman, Jr. | 10/06/2004 | |
**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) | Represents 100,001 shares of the Issuer's Common Stock owned by the Hagman Family Irrevocable Trust #1 ("HFI Trust #1"), of which Mr. Hagman is a co-trustee, and 117,649 shares owned by the Hagman Family Irrevocable Trust #2 ("HFI Trust #2"), of which Mr. Hagman is co-trustee. Both of these trusts have been dissolved and the shares and other assets distributed. No funds were received for these shares. |
(2) | Represents 72,551 shares of the Issuer's Common Stock distributed to William R. Hagman, Jr., Trustee u/t/a dated 12/19/86 upon the dissolution of HFI Trust #1 and HFI Trust #2 referred to in Note (1) above. In prior reports, Mr. Hagman reported having voting rights over the shares held by both dissolved trusts. No funds were paid for these shares. |
(3) | These shares are owned by the following record owners that are subject to the terms of proxies granting Mr. Hagman the right to vote the shares: 130,982 shares owned by Dorothy F. Hagman, Trustee u/t/a dated 9/13/82; 217,450 shares owned by John R. Hagman and Susan G. Hagman, Trustees u/t/a dated 12/19/97; 13,000 shares owned by Hagman Associates, L.P., of which Mr. Hagman is Managing Partner; 2,360 shares owned by H&H Investment Partnership, of which Mr. Hagman is co-trustee; and 189,492 shares owned by William R. Hagman, Jr., Trustee u/t/a dated 12/19/86. |