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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 | ||||||||
Call Option (obligation to sell) | $ 118.7891 | 08/27/2009 | E/K(1) | 100,000 | 08/27/2009 | 08/27/2009 | Common Stock | 100,000 | $ 0 | 0 | D | ||||
Put Option (right to sell) | $ 69.84 | 08/27/2009 | X/K(1) | 100,000 | 08/27/2009 | 08/27/2009 | Common Stock | 100,000 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 23.3281 | (2) | 01/01/2011 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 38.7275 | (2) | 01/01/2012 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 57.155 | (2) | 01/01/2013 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 61.3325 | (2) | 01/01/2014 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 75.095 | 01/01/2008(2) | 01/01/2017 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 81.4 | 01/01/2006(2) | 01/01/2015 | Common Stock | 2,250 | 2,250 | D | ||||||||
Non-Qualified Stock Option (right to buy) | $ 83.1175 | 01/01/2007(2) | 01/01/2016 | Common Stock | 2,250 | 2,250 | D | ||||||||
Phantom Stock | $ 0 | (3) | (4) | Common Stock | 1,475 | 1,475 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KOLB DAVID L 160 SOUTH INDUSTRIAL BLVD. P.O. BOX 12069 CALHOUN, GA 30703 |
X |
DAVID L. KOLB | 08/28/2009 | |
**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) | In connection with the settlement of a put option entered into on August 27, 2007, as part of a zero-cost collar arrangement, the reporting person received, for each share of stock subject to the option, a cash amount equal to the excess of the exercise price of $69.84 over the market price of $49.27 per share. On the same date, the related call option expired unexercised. |
(2) | SHARES ARE EXERCISABLE ONE YEAR AFTER DATE OF GRANT AT 20% PER YEAR. |
(3) | To be paid in cash or stock upon termination as a director. |
(4) | To be paid in cash or stock upon termination as a director. |