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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 | ||||||||
5.00% Dollar-Denominated Conv. Subordinated Notes due 2014 | (2) | 05/12/2009 | P | $ 5,000,000 | 05/15/2009 | 05/15/2014 | Common Stock | 1,344,086 | $ 5,000,000 | $ 5,000,000 | I | By Jackson Holding Services Inc. (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ROMAN GLG TRUST C/O GLG PARTNERS, INC. 399 PARK AVE., 38TH FLOOR NEW YORK, NY 10022 |
X | |||
Robins Jeffrey A C/O GLG PARTNERS, INC. 399 PARK AVE., 38TH FLOOR NEW YORK, NY 10022 |
X | |||
Jackson Holding Services Inc. C/O GLG PARTNERS, INC. 399 PARK AVE., 38TH FLOOR NEW YORK, NY 10022 |
X |
/s/ Jeffrey A. Robins, in his capacity as trustee of the Roman GLG Trust | 05/14/2009 | |
**Signature of Reporting Person | Date | |
/s/ Jeffrey A. Robins | 05/14/2009 | |
**Signature of Reporting Person | Date | |
Jackson Holding Services Inc., by Jeffrey A. Robins, President and Secretary: /s/ Jeffrey A. Robins | 05/14/2009 | |
**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) | Jeffrey Robins (the "Trustee") indirectly holds these securities solely in his capacity as Trustee of the Roman GLG Trust, a trust established for the benefit of Emmanuel Roman and his family (the "Trust"). The Trustee does not have any pecuniary interest in these securities. The securities are beneficially owned indirectly by the Trust and the Trustee through Jackson Holding Services Inc., a wholly owned subsidiary of the Trust. |
(2) | The notes may be converted at any time by the holder into shares of common stock at an initial conversion rate of 268.8172 shares of common stock per $1,000 principal amount of notes, which represents a conversion price of approximately $3.72 per share of common stock, subject to certain adjustments. |