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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) | $ 5.83 | 10/20/2011(1) | 10/20/2020 | Common Stock | 20,000 | 6,667 (4) | D | ||||||||
Employee Stock Option (Right to Buy) | $ 6.28 | 04/18/2012(2) | 04/18/2022 | Common Stock | 31,483 | 0 (4) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ROUSE JULIE 2400 XENIUM LANE NORTH PLYMOUTH, MN 55441 |
Former SVP, GMM |
Sandra L. Miller, Attorney-in-Fact | 02/22/2012 | |
**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) | On October 20, 2010, the reporting person was granted an option to exercise 20,000 shares of Common Stock. The option vests in three annual installments of 6,666 shares on October 20, 2011, 6,667 shares on October 20, 2012 and 6,667 shares on October 20, 2013. |
(2) | On April 18, 2011, the reporting person was granted an option to exercise 31,483 shares of Common Stock. The option vests in three annual installments of 10,495 shares on April 18, 2012, 10,494 shares on April 18, 2013 and 10,494 shares on April 18, 2014. |
(3) | On February 17, 2012, the reporting person's position with the Company was eliminated and she is no longer employed by the Company. Thus, shares of restricted stock that have not vested are forfeited. |
(4) | On February 17, 2012, the reporting person's position with the Company was eliminated and she is no longer employed by the Company. Thus, unvested stock options have expired in accordance with their terms upon termination. |
(5) | This number includes restricted stock awards. |