UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Restricted Stock Units (Deferred Stock Award) 3/10/08 | 03/11/2010(2) | 03/11/2013(2) | Common Stock | 5,585 | $ (1) | D | Â |
March 10, 2008 Stock Option | 03/10/2009(3) | 03/10/2018(3) | Common Stock | 21,090 | $ 27.37 | D | Â |
Founders RSU Grant April 1, 2008 | 04/02/2010(4) | 04/02/2010(4) | Common Stock | 30 | $ 25.37 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
De Carli Earl Vincent 1069 STATE ROUTE 46E BATESVILLE, IN 47006 |
 |  |  Group VP, Care Continuum Svc |  |
Earl V. DeCarli | 05/05/2008 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Conversion or Exercise Price of Derivative Security is 1-for-1. |
(2) | Restricted Stock Units vest 20% on 3/11/2010, 25% on 3/11/2011, 25% on 3/11/2012 and 30% on 3/11/2013. Stock units will automatically be converted into shares of common stock in accordance with the respective vesting schedule unless a previous deferral election has been made. Stock units are entitled to dividend equivalent rights, which accrue on dividend record dates. |
(3) | The option vests in three equal annual installments beginning on the date indicated. |
(4) | These awards were part of a Founders' Grant of 30 Restricted Stock Units (with approximate value that date of $761 per employee) to each employee of the Company in connection with the spin-off of the Company's funeral services business. |