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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) | $ 29.28 | Â | Â | Â | Â | Â | Â (2) | 11/16/2017 | Common Stock | Â | 2,000 | Â | ||
Stock Option (Right to Buy) | $ 33.78 | Â | Â | Â | Â | Â | Â (2) | 05/21/2018 | Common Stock | Â | 3,000 | Â | ||
Stock Option (Right to Buy) | $ 22.46 | Â | Â | Â | Â | Â | Â (3) | 05/19/2020 | Common Stock | Â | 2,727 | Â | ||
Stock Option (Right to Buy) | $ 20.4 | Â | Â | Â | Â | Â | Â (4) | 02/18/2021 | Common Stock | Â | 2,727 | Â | ||
Stock Option (Right to Buy) | $ 21.095 | Â | Â | Â | Â | Â | Â (5) | 05/16/2022 | Common Stock | Â | 2,145 | Â | ||
Stock Option (Right to Buy) | $ 28.925 | Â | Â | Â | Â | Â | Â (6) | 05/15/2023(6) | Common Stock | Â | 1,755 | Â | ||
Phantom Stock | Â | Â | Â | Â | Â | Â | Â (7) | Â (7) | Common Stock | Â | 523.693 | 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 Dianne M. Lyons, Attorney-in-Fact | 02/13/2014 | |
**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: 4,582 held by Mr. Hultquist individually and 420 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 15, 2014. |
(2) | All options currently exercisable. |
(3) | 1,635 options currently exercisable; 1,092 options become exercisable in two (2) equal installments of 546 options each on 05/19/2014 and 05/19/205, respectively. |
(4) | 1,092 options currently exercisable; 1,635 options become exercisable in three (3) equal installments of 545 options each on 02/18/2014, 02/18/2015 and 02/18/2016, respectively |
(5) | 429 options currently exercisable; 1,716 options become exercisable in four (4) equal installments of 429 options each on 05/16/2014, 05/16/2015, 05/16/2016 and 05/16/2017, respectively. |
(6) | 1,755 options become exercisable in five (5) equal installments of 351 options each on 05/15/2014, 05/15/2015, 05/15/2016, 05/15/2017 and 05/15/2018, respectively. |
(7) | Each share of phantom stock is the economic equivalent of one share of 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. |