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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) | $ 4.16 (3) | 12/06/2013 | A | 4,631 (3) | 03/06/2014 | 12/06/2023 | Class A Common Stock | 4,631 (3) | $ 4.16 (3) | 4,631 (3) | D | ||||
Employee Stock Option (right to buy) | $ 3.88 (4) | 07/02/2014 | A | 4,410 (4) | 10/02/2014 | 07/02/2024 | Class A Common Stock | 4,410 (4) | $ 3.88 (4) | 4,410 (4) | D | ||||
Employee Stock Option (right to buy) | $ 4.53 (5) | 12/05/2014 | A | 8,820 (5) | 03/05/2015 | 12/05/2024 | Class A Common Stock | 8,820 (5) | $ 4.53 (5) | 8,820 (5) | D | ||||
Employee Stock Option (right to buy) | $ 6.38 (6) | 12/04/2015 | A | 10,500 (6) | 03/04/2016(6) | 12/04/2025 | Class A Common Stock | 10,500 (6) | $ 6.38 (6) | 10,500 (6) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sill Garrett S. 2463 SOUTH 1375 WEST SYRACUSE, UT 84075 |
CFO and Treasurer |
/s/ Garrett S. Sill | 04/06/2016 | |
**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) | Received pursuant to a stock dividend paid on February 5, 2016. |
(2) | Does not include 11,909 shares of Class A Common Stock owned indirectly by the reporting person in the Employee Stock Ownership Plan (ESOP) and the 401(k) Retirement Savings Plan. |
(3) | This option was granted on December 6, 2013 as an option for 4,000 shares of Class A Common Stock at an exercise price of $4.85 per share, but adjusted pursuant to the anti-dilution provisions of the 2013 Stock Option Plan to reflect 5% stock dividends paid on February 7, 2014, February 6, 2015 and February 5, 2016. |
(4) | This option was granted on July 2, 2014 as an option for 4,000 shares of Class A Common Stock at an exercise price of $4.29 per share, but adjusted pursuant to the anti-dilution provisions of the 2013 Stock Option Plan to reflect 5% stock dividends paid on February 6, 2015 and February 5, 2016. |
(5) | This option was granted on December 5, 2014 as an option for 8,000 shares of Class A Common Stock at an exercise price of $5.02 per share, but adjusted pursuant to the anti-dilution provisions of the 2013 Stock Option Plan to reflect 5% stock dividends paid on February 6, 2015 and February 5, 2016. |
(6) | This option was granted on December 4, 2015 as an option for 10,000 shares of Class A Common Stock at an exercise price of $6.72 per share, but adjusted pursuant to the anti-dilution provisions of the 2013 Stock Option Plan to reflect a stock dividend paid on February 5, 2016. This option vests in four equal quarterly installments of Class A Common Stock, beginning on March 4, 2016, until such shares are fully vested. |