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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Phantom Stock | Â | Â | Â | Â | Â | Â | Â (2) | Â (2) | Common Stock | Â | 1,387.881 | Â | ||
Stock Option (right to buy) | $ 29.28 | Â | Â | Â | Â | Â | Â (3) | 11/16/2017 | Common Stock | Â | 2,000 | Â | ||
Stock Option (right to buy) | $ 33.78 | Â | Â | Â | Â | Â | Â (3) | 05/21/2018 | Common Stock | Â | 3,000 | Â | ||
Stock Option (right to buy) | $ 22.46 | Â | Â | Â | Â | Â | Â (4) | 05/19/2020 | Common Stock | Â | 2,727 | Â | ||
Stock Option (right to buy) | $ 20.4 | Â | Â | Â | Â | Â | Â (5) | 02/18/2021 | Common Stock | Â | 2,727 | Â | ||
Stock Option (right to buy) | $ 21.095 | Â | Â | Â | Â | Â | Â (6) | 05/16/2022 | Common Stock | Â | 2,145 | Â | ||
Stock Option (right to buy) | $ 28.925 | Â | Â | Â | Â | Â | Â (7) | 05/15/2023 | Common Stock | Â | 1,755 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HULTQUIST DOUGLAS M 118 SECOND AVENUE SE P.O. BOX 73909 CEDAR RAPIDS, IA 52407-3909 |
 X |  |  |  |
/s/ Douglas M. Hultquist by Michael T. Wilkins, Attorney-in-Fact | 02/13/2015 | |
**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) | The number of shares beneficially held directly by the Reporting Person includes: 5,002 held by Mr. Hultquist individually and 1,286 shares of restricted stock issued to Mr. Hultquist under the Issuer's 2005 Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan which vest, subject to certain conditions, on May 21, 2017. |
(2) | Each share of phantom stock is the economic equivalent of one share of the Issuer's common stock. The shares of phantom stock become payable, in cash, in one lump sum or prorated over five years, at the election of the Reporting Person, upon the Reporting Person's termination of service as a director. |
(3) | All options currently exercisable. |
(4) | 2,182 options currently exercisable. Remaining options become vested and exercisable on 05/19/2015. |
(5) | 1,636 options currently exercisable. Remaining options become vested and exercisable in equal installments on 02/18/2015 and 02/18/2016, respectively. |
(6) | 858 options currently exercisable. Remaining options become vested and exercisable in equal installments on 05/16/2015, 05/16/2016 and 05/16/2017, respectively. |
(7) | 351 options currently exercisable. Remaining options become vested and exercisable in equal installments on 05/15/2015, 05/15/2016, 05/15/2017 and 05/15/2018, respectively. |