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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 | ||||||||
Phantom stock units (1) | $ 0 | 04/27/2005 | A | 522.21 | (2) | (2) | Phantom stock units | 522.21 | $ 0 (3) | 817.16 (4) | D | ||||
Stock Option | $ 34.13 | 01/28/2004 | 07/28/2013 | Common Stock | 6,000 | 6,000 | D | ||||||||
Stock Option | $ 45.79 | 10/28/2004 | 04/28/2014 | Common Stock | 3,000 | 3,000 | D | ||||||||
Stock Option (5) | $ 39.62 | 04/27/2005 | A | 3,000 | 10/27/2005 | 04/27/2015 | Common Stock | 3,000 | $ 0 | 3,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
REYELTS PAUL C 225 MAIN STREET P. O. BOX 8003 MENASHA, WI 54952-8003 |
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Ronald D. Kneezel, attorney-in-fact | 04/28/2005 | |
**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). |
(2) | The units will be settled in cash following the reporting person's conclusion of service as a director. |
(3) | This security converts on a one-for-one basis. |
(4) | Total includes 3.62 phantom shares acquired in August and November 2004, and February 2005 through dividend reinvestment at prices ranging from $39.71-$43.31 per share. |
(1) | Award of phantom stock in partial payment of director compensation. |
(5) | Option granted to reporting person on April 27, 2005 under the Banta Corporation Equity Incentive Plan. |