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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 | |
MERRILL ALLAN P 1000 ABERNATHY RD SUITE 260 ATLANTA, GA 30328 |
X | President and CEO |
/s/ Kenneth F. Koury, Attorney-in-Fact | 11/18/2014 | |
**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) | Restricted stock award pursuant to the Company's 2014 Long-Term Incentive Plan. Award vests ratably over a three-year period. |
(2) | Amount of shares beneficially owned at the end of the reporting period reduced by 85,264 shares. This reduction is comprised of the following exempt issuer awards: 58,264 shares reported on a Form 4 filed on November 18, 2011, 13,500 shares reported on a Form 4 filed on November 16, 2012, and 13,500 shares reported on a Form 4 filed on November 12, 2013 (share amounts reflect 1-for-5 reverse stock split effected by the Company on October 11, 2012). The performance criteria applicable to the 58,264 shares reported on November 18, 2011 were not achieved and, as a result, these shares did not vest. The vesting of the remaining awards is subject to the achievement of certain performance criteria and therefore not reportable on Form 4 until the time, if any, that such criteria are met. |