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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 | |
CHS Private Equity V LP 10 SOUTH WACKER DRIVE, SUITE 3175 CHICAGO, IL 60606 |
X | |||
CHS Management V LP 10 SOUTH WACKER DRIVE, SUITE 3175 CHICAGO, IL 60606 |
X | |||
CHS Capital LLC 10 SOUTH WACKER DRIVE, SUITE 3175 CHICAGO, IL 60606 |
X |
Marcus George for CHS PRIVATE EQUITY V LP | 09/28/2012 | |
**Signature of Reporting Person | Date | |
Marcus George for CHS MANAGEMENT V LP | 09/28/2012 | |
**Signature of Reporting Person | Date | |
Marcus George for CHS CAPITAL LLC | 09/28/2012 | |
**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) | CHS Private Equity V LP sold 7,002,682 shares of common stock of the Issuer. The shares of Issuer common stock owned by CHS Private Equity V LP may be deemed to be beneficially owned by CHS Management V LP, which is the sole general partner of CHS Private Equity V LP, and CHS Capital LLC, which is the sole general partner of CHS Management V LP. The Investment Committee of CHS Capital LLC exercises sole voting and dispositive powers with respect to the shares of common stock of the Issuer held by CHS Private Equity V LP. |
(2) | The members of the Investment Committee are Brian P. Simmons, Daniel J. Hennessy, Thomas J. Formolo, David O. Hawkins and Richard A. Lobo, whom we collectively refer to as the Investment Committee Members. Each of the Investment Committee Members, CHS Management V LP and CHS Capital LLC disclaims beneficial ownership of the shares of common stock of the Issuer by CHS Private Equity V LP, except to the extent of a pecuniary interest therein. The address of each of the Investment Committee Members and each of CHS Management V LP and CHS Capital LLC is c/o CHS Capital LLC, 10 South Wacker Drive, Suite 3175, Chicago, Illinois 60606. |
(3) | Price per share less underwriting discounts and commissions. |