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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 | |||||||||
Stock Option (right to buy) | $ 32.39 | Â | Â | Â | Â | Â | Â (2) | 02/18/2015 | Common Stock | Â | 1,000 | Â | ||
Stock Option (right to buy) | $ 39.13 | Â | Â | Â | Â | Â | Â (2) | 02/17/2016 | Common Stock | Â | 1,000 | Â | ||
Stock Option (right to buy) | $ 35.23 | Â | Â | Â | Â | Â | Â (2) | 02/16/2017 | Common Stock | Â | 1,000 | Â | ||
Stock Option (right to buy) | $ 18.14 | Â | Â | Â | Â | Â | Â (2) | 05/20/2019 | Common Stock | Â | 400 | Â | ||
Stock Option (right to buy) | $ 34.39 | Â | Â | Â | Â | Â | Â (2) | 02/15/2018 | Common Stock | Â | 1,000 | Â | ||
Stock Option (right to buy) | $ 16.89 | Â | Â | Â | Â | Â | Â (3) | 02/19/2020 | Common Stock | Â | 750 | Â | ||
Stock Option (right to buy) | $ 20.54 | Â | Â | Â | Â | Â | Â (4) | 02/18/2021 | Common Stock | Â | 1,000 | Â | ||
Stock Option (right to buy) | $ 20.93 | Â | Â | Â | Â | Â | Â (5) | 02/24/2022 | Common Stock | Â | 2,500 | Â | ||
Stock Option (right to buy) | $ 23.96 | Â | Â | Â | Â | Â | Â (6) | 02/15/2023 | Common Stock | Â | 3,624 | Â | ||
Stock Option (right to buy) | $ 29.61 | Â | Â | Â | Â | Â | Â (7) | 02/21/2024 | Common Stock | Â | 5,537 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sheeley Michael J. 118 SECOND AVENUE SE CEDAR RAPIDS, IA 52407-3909 |
 |  |  VP/COO - United Life Ins. Co. |  |
/s/ Michael J. Sheeley 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 total number of securities beneficially held directly by the Reporting Person (excluding fractionals) includes: 1,301 shares held directly by Mr. Sheeley; 1,033 shares of restricted stock issued under the Issuer's Stock Plan which vest, subject to certain conditions, on 02/15/2018; and 1,710 shares of restricted stock issued under the Issuer's Stock Plan which vest, subject to certain conditions, on 02/21/2019. |
(2) | All options currently exercisable. |
(3) | 600 options currently exercisable. Remaining options become vested and exercisable on 02/19/2015. |
(4) | 600 options currently exercisable. Remaining options become vested and exercisable in equal installments on 02/18/2015 and 02/18/2016, respectively. |
(5) | 1,000 options currently exercisable. Remaining options become vested and exercisable in equal installments on 02/24/2015, 02/24/2016 and 02/24/2017, respectively. |
(6) | 725 options currently exercisable. Remaining options become vested and exercisable in equal installments on 02/15/2015, 02/15/2016, 02/15/2017 and 02/15/2018, respectively. |
(7) | Options become vested and exercisable in equal installments on 02/21/2015, 02/21/2016, 02/21/2017, 2/21/2018 and 02/21/2019, respectively. |