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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 | ||||||||
Deferred Director Fees | $ 0 (1) | 01/05/2015 | M | 638 | 01/05/2015 | 01/05/2015 | Common Stock | 638 | $ 0 | 0 | D | ||||
Deferred Stock Units (Director Fees) | $ 0 (1) | 01/02/2015 | A | 165 | (2) | (2) | Common Stock | 165 | $ 0 | 3,740 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Golden Charles E 1069 STATE ROUTE 46E BATESVILLE, IN 47006 |
Kevin Warns, Attorney-in-fact for Charles E. Golden | 01/06/2015 | |
**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) | Conversion price is 1 for 1 with common stock. |
(2) | 348 Deferred Stock Shares will automatically be converted into shares of Common Stock on the later of January 1, 2021 or the six-month anniversary after leaving the board; 750 Deferred Stock Shares will automatically be converted into shares of Common Stock on the later of January 1, 2020 or the six-month anniversary after leaving the board; 923 Deferred Stock Shares will automatically be converted into shares of Common Stock on the later of January 1, 2019 or the six-month anniversary after leaving the board; 966 Deferred Stock Shares will automatically be converted into shares of Common Stock on the later of January 1, 2018 or the six-month anniversary after leaving the board; 753 Deferred Stock Shares will automatically be converted into shares of Common Stock on the later of January 1, 2017 or the six-month anniversary after leaving the board. |