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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WALSTON W WAYNE 33 EMS T40A LANE LEESBURG, IN 46538 |
X |
W. Wayne Walston BY: /s/David P. Emmens Attorney-in-Fact | 08/09/2011 | |
**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) | As of June 10, 2011, the amount of common shares beneficially owned was increased due to a 5-for-4 split of the common shares. |
(2) | Includes 11,932 shares acquired through an exempt non-employee Directors' Compensation Plan (of which 2,386 shares were added as a result of the 5-for-4 split of common shares as of June 10, 2011). |
(3) | Shares acquired through an exempt non-employee Directors' Compensation Plan. |
(4) | Includes 12,432 shares acquired through an exempt non-employee Directors' Compensation Plan (of which 2,386 shares were added as a result of the 5-for-4 split of common shares as of June 10, 2011). |
(5) | Includes 12,932 shares acquired through an exempt non-employee Directors' Compensation Plan (of which 2,386 shares were added as a result of the 5-for-4 split of common shares as of June 10, 2011). |
(6) | Common Shares owned by Mrs. Walston's Trust, of which Mr. and Mrs. Walston are co-trustees. Mr. Walston disclaims beneficial ownership of all the shares referred to in this footnote. |