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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 Options (right to buy) | $ 14.8125 | 05/22/2007 | D | 10,500 | 02/28/2001(1) | 02/28/2010 | Common Stock | 10,500 | (2) | 0 | D | ||||
Stock Options (right to buy) | $ 19.8125 | 05/22/2007 | D | 3,000 | 10/02/2001(1) | 10/02/2010 | Common Stock | 3,000 | (2) | 0 | D | ||||
Stock Options (right to buy) | $ 20.14 | 05/22/2007 | D | 10,000 | 12/17/2002(3) | 12/17/2011 | Common Stock | 10,000 | (2) | 0 | D | ||||
Stock Options (right to buy) | $ 18.8 | 05/22/2007 | D | 50,000 | 02/06/2011 | 02/06/2012 | Common Stock | 50,000 | (2) | 0 | D | ||||
Stock Options (right to buy) | $ 18.5 | 05/22/2007 | D | 10,000 | 10/01/2003(3) | 10/01/2002 | Common Stock | 10,000 | (2) | 0 | D | ||||
Stock Options (right to buy) | $ 12.73 | 05/22/2007 | D | 25,000 | 09/30/2004(3) | 09/30/2013 | Common Stock | 25,000 | (4) | 0 | D | ||||
Stock Options (right to buy) | $ 14.11 | 05/22/2007 | D | 23,000 | 09/30/2005 | 09/30/2014 | Common Stock | 23,000 | (2) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Maxey Gregory Dean 2401 21ST AVENUE SOUTH SUITE 200 NASHVILLE, TN 37212 |
Senior Vice President |
/s/ Benjamin F. Parrish, Attorney-In-Fact for Greg Maxey | 05/24/2007 | |
**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) | Vests in three equal annual installments beginning on this date. |
(2) | Converted into the right to receive a cash payment of $22.53 less the exercise price per share. If the exercise price of the option was equal to or in excess of $22.53, the option was canceled without consideration. |
(3) | Vests in four equal annual installments beginning on this date. |
(4) | A portion of this option representing the right to buy 5,115 shares was converted into an option to purchase shares of common stock of KCPC Holdings, Inc. on the same terms as the original option. The remainder was converted into the right to receive a cash payment of $22.53 less the exercise price per share. |