|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to buy) | $ 36.97 | 01/25/2005 | A | 48,320 | (3) | 01/25/2015 | Common Stock | 48,320 | $ 0 | 48,320 | D | ||||
Stock Option (Right to buy) | $ 36.97 | 01/25/2005 | A | 96,640 | (4) | 01/25/2015 | Common Stock | 96,640 | $ 0 | 96,640 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MILLER T MICHAEL 385 WASHINGTON STREET ST. PAUL, MN 55102 |
CEO Specialty Operations |
Bruce A. Backberg, by power of attorney | 01/27/2005 | |
**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) | Shares of restricted stock granted pursuant to the Company's 2004 Stock Incentive Plan. |
(2) | The Reporting Person indirectly owns 1387 common shares through an employee benefit plan. In addition, the Reporting Person indirectly owns preferred shares through an employee benefit plan that are convertible into 2492 common shares or cash at the option of the Reporting Person. |
(3) | The option vests in the following installments: (i) 50% of the option shares on the second anniversary of the grant date, and (ii) 25% of the option shares on each of the third and fourth anniversaries of the grant date. |
(4) | The option vests in the following installments: (i) 50% of the option shares on the fourth anniversary of the grant date, and (ii) 50% of the option shares on the fifth anniversary of the grant date. |