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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Strausbaugh Samuel S 601 CLINTON ST. DEFIANCE, OH 43512 |
X |
/s/ Samuel S. Strausbaugh | 09/30/2011 | |
**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) | A Form 4/A was filed on 2011-05-05 that stated the original filing, filed on 2011-02-07, was erroneous because Mr. Strausbaugh was not awarded 68 shares. Though Mr. Strausbaugh, in fact, did not receive an award of 68 shares, a purchase was made for the amount of 68 shares for Mr. Strausbaugh's account. This Form 4/A, filed on 2011-09-30, reinstates the Form 4 filing that was filed on 2011-02-07 and provides the correct date of the transaction. |
(2) | These shares were sold to the reporting person in lieu of director retainer fees of $895.56. |
(3) | This Form 4/A also now indicates the price at which the 68 shares were purchased for Mr. Strausbaugh's account. |
(4) | The ending balance differs from amounts previously reported because of shares acquired under a dividend reinvestment plan. |