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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 | ||||||||
Employee Stock Option (right to buy) | $ 9.397 | 10/25/2004 | M | 9,744 | 12/20/1995(6) | 12/20/2004 | Common Stock | 9,744 | $ 0 | 0 | D | ||||
Employee Stock Option (right to buy) | $ 13.188 | 12/19/1996(7) | 12/18/2005 | Common Stock | 15,094 | 15,094 | D | ||||||||
Employee Stock Option (right to buy) | $ 20.188 | 02/25/1998(8) | 02/24/2007 | Common Stock | 11,038 | 11,038 | D | ||||||||
Employee Stock Option (right to buy) | $ 31 | 02/24/1999(9) | 02/23/2008 | Common Stock | 8,162 | 8,162 | D | ||||||||
Employee Stock Option (right to buy) | $ 36.313 | 02/23/2000(10) | 02/23/2009 | Common Stock | 7,267 | 7,267 | D | ||||||||
Employee Stock Option (right to buy) | $ 23.938 | 02/22/2001(11) | 02/22/2010 | Common Stock | 21,127 | 21,127 | D | ||||||||
Employee Stock Option (right to buy) | $ 36.59 | 02/27/2002(12) | 02/27/2011 | Common Stock | 14,778 | 14,778 | D | ||||||||
Employee Stock Option (right to buy) | $ 36.84 | 02/26/2003(13) | 02/26/2012 | Common Stock | 15,814 | 15,814 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 32.66 | 02/25/2004(14) | 02/25/2013 | Common Stock | 43,791 | 43,791 | D | ||||||||
Employee Stock Option (right to buy) | $ 36.68 | 02/24/2005(15) | 02/24/2014 | Common Stock | 41,363 | 41,363 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WILSON CHARLES L P O BOX 1250 WINSTON-SALEM, NC 271021250 |
Sr. Executive Vice President |
By: Parris N. Adams, Attorney-in-fact | 10/26/2004 | |
**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) | Includes 0.783 shares acquired in May and 0.770 shares acquired in August under the Issuer's Dividend Reinvestment Plan. |
(2) | Between January 1, 2004 and September 30, 2004, the reporting person acquired 921.629 shares of common stock during the 1st quarter; 445.724 shares of common stock during the 2nd quarter; and 324.438 shares of common stock during the 3rd quarter under the Issuer's 401(k) plan. The information in this report is based on a plan statement dated as of September 30, 2004. |
(3) | Includes 22.373 shares acquired in May and 21.998 shares acquired in August under the Issuer's Dividend Reinvestment Plan. |
(4) | Includes 15.519 shares acquired in May and 15.259 shares acquired in August under the Issuer's Dividend Reinvestment Plan. |
(5) | Includes 8.874 shares acquired in May and 8.725 shares acquired in August under the Issuer's Dividend Reinvestment Plan. |
(6) | The option is exercisable in three equal annual installments beginning on 12/20/1995. |
(7) | The option is exercisable in three equal annual installments beginning on 12/19/1996. |
(8) | The option is exercisable in three equal annual installments beginning on 02/25/1998. |
(9) | The option is exercisable in three equal annual installments beginning on 02/24/1999. |
(10) | The option is exercisable in three equal annual installments beginning on 02/23/2000. |
(11) | The option is exercisable in three equal annual installments beginning on 02/22/2001. |
(12) | The option is exercisable in three equal annual installments beginning on 02/27/2002. |
(13) | The option is exercisable in three equal annual installments beginning on 02/26/2003. |
(14) | The option is exercisable in five equal annual installments beginning on 02/25/2004. |
(15) | The option is exercisable in five equal annual installments beginning on 02/24/2005. |