1.
|
NAMES
OF REPORTING PERSONS
David
Montrose van Roijen
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b)
¨
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
PF
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
¨
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
29,000
shares
|
|
8.
|
SHARED
VOTING POWER
|
12,800
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
29,000
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
12,800
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
41,800
shares (1)
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
¨
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
1.2%
(2)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Currell
Hunton Tiffany
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b)
¨
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
PF
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
¨
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
116,237
shares
|
|
8.
|
SHARED
VOTING POWER
|
0
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
116,237
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
116,237
shares
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
¨
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
3.2%
(1)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Susanne
McClenaghan Tiffany
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b)
¨
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
PF,
OO (1)
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
¨
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
31,142
shares
|
|
8.
|
SHARED
VOTING POWER
|
0
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
31,142
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
31,142
shares
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
¨
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.9%
(2)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Peter
Portner van
Roijen
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b)
o
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
PF
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
18,400
shares
|
|
8.
|
SHARED
VOTING POWER
|
12,800
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
18,400
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
12,800
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
31,200
shares (1)
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.9%
(2)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
William
E. Sudduth
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b) o
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
OO
(1)
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
|
8.
|
SHARED
VOTING POWER
|
3,540
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
0
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
3,540
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,540
shares (2)
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.1%
(3)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Richard
C. Stoker
|
|||
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) x
(b) o
|
|||
3.
|
SEC
USE ONLY
|
|||
4.
|
SOURCE
OF FUNDS
PF
|
|||
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
|||
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
|||
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
50,000
shares
|
|
8.
|
SHARED
VOTING POWER
|
0
shares
|
||
9.
|
SOLE
DISPOSITIVE POWER
|
50,000
shares
|
||
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
||
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
50,000
shares
|
|||
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
|||
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
1.4%
(1)
|
|||
14.
|
TYPE
OF REPORTING PERSON
IN
|
Item
1.
|
Security
and Issuer.
|
Item
2.
|
Identity
and Background.
|
Item
3.
|
Source and Amount of Funds or
Other Consideration.
|
Item
4.
|
Purpose of Transaction.
|
Item
5.
|
Interest
in Securities of the Issuer.
|
Name
|
Number of Shares
|
Percentage
|
||||||
David
Montrose van Roijen
|
41,800 | (1) | 1.2 | % | ||||
C.
Hunton Tiffany
|
116,237 | 3.2 | % | |||||
Susanne
McClenaghan Tiffany
|
31,142 | 0.9 | % | |||||
Peter
P. van Roijen
|
31,200 | (1) | 0.9 | % | ||||
William
E. Sudduth
|
3,540 | 0.1 | % | |||||
Richard
C. Stoker
|
50,000 | 1.4 | % |
Exhibit No.
|
Description
|
|
99.1
|
Notice
of Intent to Nominate Directors, dated March 19, 2009 from William E.
Sudduth to the Company
|
|
99.2
|
Joint
Filing Agreement
|
|
99.3
|
Power
of Attorney granted by Susanne M. Tiffany
|
|
99.4
|
Power
of Attorney granted by Peter P. van Roijen
|
|
99.5
|
Power
of Attorney granted by William E. Sudduth
|
|
99.6
|
|
Power
of Attorney granted by Richard C.
Stoker
|
David
M. van Roijen
|
/s/ David M. van Roijen
|
Name/Title:
David M. van Roijen, an individual
|
C.
Hunton Tiffany
|
/s/ C. Hunton Tiffany
|
Name/Title:
C. Hunton Tiffany, an individual
|
Susanne
M. Tiffany
|
/s/ C. Hunton Tiffany,
Attorney-in-Fact
|
Name/Title:
C. Hunton Tiffany, Attorney-in-Fact
|
Peter
P. van Roijen
|
/s/ David M. van Roijen,
Attorney-in-Fact
|
Name/Title:
David M. van Roijen, Attorney-in-Fact
|
William
E. Sudduth
|
/s/ C. Hunton Tiffany
|
Name/Title:
C. Hunton Tiffany, Attorney-in-Fact
|
Richard
C. Stoker
|
/s/ C. Hunton Tiffany
|
Name/Title:
C. Hunton Tiffany,
Attorney-in-Fact
|