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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 | ||||||||
Non-Employee Director Stock Option (right to buy) (3) | $ 10 | 05/21/2000 | M | 1,500 | 11/21/2000 | 05/21/2005 | Common Stock | 1,500 | $ 0 | 0 | D | ||||
Non-Employee Director Stock Option (right to buy) (3) | $ 9.94 | 11/21/2000 | M | 1,509 | 05/21/2001 | 11/21/2005 | Common Stock | 1,509 | $ 0 | 0 | D | ||||
Non-Employee Director Stock Option (right to buy) (3) | $ 14.09 | 05/21/2001 | M | 1,065 | 11/21/2001 | 05/21/2006 | Common Stock | 1,065 | $ 0 | 0 | D | ||||
Non-Employee Director Stock (right to buy) (3) | $ 10.34 | 11/21/2001 | M | 1,451 | 05/21/2002 | 11/21/2006 | Common Stock | 1,451 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RUFFOLO JOSEPH D 2820 CHICHESTER LANE FORT WAYNE, IN 46815 |
X |
Joseph D. Ruffolo | 02/25/2005 | |
**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) | Acquisition of stock pursuant to exercise of option, granted pursuant to Non-Employee Director Stock Option Plan approved by stockholders, exempt under Rule 16b-6(b). |
(2) | Does not include 1,000 shares of common stock held by reporting person's retirement trust (indirect) and 1,300 shares of stock held by reporting person's spouse (indirect). Reporting person disclaims beneficial ownership of these shares. |
(3) | Grant exempt under Rule 16b-3(d)(2). Exercise exempt under Rule 16b-6. |