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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Option (Right to Buy) | $ 32.39 | Â | Â | Â | Â | Â | Â (2) | 02/18/2015 | Common Stock | Â | 1,000 | Â | ||
Stock Option (Right to Buy) | $ 39.13 | Â | Â | Â | Â | Â | Â (2) | 02/17/2016 | Common Stock | Â | 1,000 | Â | ||
Stock Option (Right to Buy) | $ 35.23 | Â | Â | Â | Â | Â | Â (2) | 02/16/2017 | Common Stock | Â | 1,000 | Â | ||
Stock Option (Right to Buy) | $ 34.39 | Â | Â | Â | Â | Â | Â (2) | 02/15/2018 | Common Stock | Â | 1,000 | Â | ||
Stock Option (Right to Buy) | $ 18.14 | Â | Â | Â | Â | Â | Â (3) | 05/20/2019 | Common Stock | Â | 400 | Â | ||
Stock Option (Right to Buy) | $ 16.89 | Â | Â | Â | Â | Â | Â (4) | 02/19/2020 | Common Stock | Â | 750 | Â | ||
Stock Option (Right to Buy) | $ 20.54 | Â | Â | Â | Â | Â | Â (5) | 02/18/2021 | Common Stock | Â | 1,000 | Â | ||
Stock Option (Right to Buy) | $ 20.93 | Â | Â | Â | Â | Â | Â (6) | 02/24/2022 | Common Stock | Â | 2,500 | Â | ||
Stock Option (Right to Buy) | $ 23.96 | Â | Â | Â | Â | Â | Â (6) | 02/15/2023 | Common Stock | Â | 3,624 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sheeley Michael J. 118 SECOND AVENUE SE CEDAR RAPIDS, IA 52407-3909 |
 |  |  VP/COO - United Life Ins. Co. |  |
Michael J. Sheeley by Dianne M. Lyons, Attorney-in-Fact | 02/13/2014 | |
**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 total number of shares (excluding fractionals) beneficially held directly by the Reporting Person includes: 1,244 shares held directly by Mr. Sheeley and 1,033 shares of restricted stock issued to Mr. Sheeley under the Issuer's 2008 Stock Plan which vest, subject to certain conditions, on 02/15/2018. |
(2) | All options currently exercisable. |
(3) | 200 options currently exercisable; 200 options become exercisable on 05/20/2014. |
(4) | 450 options currently exercisable; 300 options become exercisable in two (2) equal installments of 150 options each on 02/19/2014 and 02/19/2015, respectively. |
(5) | 400 options currently exercisable; 600 options become exercisable in three (3) equal installments of 200 options each on 02/18/2014, 02/18/2015 and 02/18/2016, respectively. |
(6) | 500 options currently exercisable; 2,000 options become exercisable in four (4) equal installments of 500 options each on 02/24/2014, 02/24/2015, 02/24/2016 and 02/14/2017, respectively. |