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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 | ||||||||
Performance Rights | (1) | 02/05/2008 | A | 24,375 | (2) | (3) | Common Stock | 24,375 | (4) | 24,375 (5) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ERICKSON JOHN D 215 S CASCADE ST FERGUS FALLS, MN 56537-2801 |
X | President & CEO |
/s/ John D Erickson by Debra J Lill -POA | 02/06/2008 | |
**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) | This is a Performance Share Award and has no conversion or exercise price at this time. |
(2) | There is no specific "Exercisable Date" on this Performance Share Award. |
(3) | There is no specific "Expiration Date" on this Performance Share Award. |
(4) | The grant price of this award was based on fair market value at the time of the grant which was $24.93. |
(5) | Performance Share Award acquired under the 1999 Stock Incentive Plan. This award was reaffirmed at the Board of Directors meeting held 2/5/08 and is based on performance period of 1/1/2005 - 12/31/2007. See below for other holdings: 1. Direct holding of 6,144 shares of Common Stock which is a grant of Performance Shares. 2. Direct holding of 113.0161 shares of Common Stock held in the Dividend Reinvestment Plan. 3. Direct holding of 8,321.4220 shares of Common Stock held in the Employee Stock Purchase Plan. 4. Direct holding of 6,500 shares of Common Stock which is a grant of Restricted Stock. 5. Direct holding of 46,245 shares of Common Stock which no longer carries the restriction. 6. Indirect holding of 4,981.8140 shares of Common Stock held by ESOP. 7. 16,000 stock options with expiration date of 2/23/2009. 8. 25,000 stock options with expiration date of 4/10/2010. 9. 75,000 stock options with expiration date of 4/9/2011. |