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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 | ||||||||
Stock Options (right to buy) | $ 10.95 | 12/22/2004 | A | 196,332 | 06/30/2004 | 12/22/2014 | Common Stock | 196,332 | $ 0 | 196,332 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DUNKEL DAVID L 1001 EAST PALM AVENUE TAMPA, FL 33605 |
X | X | Chief Executive Officer |
Michael R. Hurley, attorney-in-fact for David L Dunkel | 12/27/2004 | |
**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 are held by the David L. Dunkel Amended and Restated Revocable Living Trust, dated 10/3/2003. |
(2) | 56,730 shares were previously included in the reporting person's direct holdings. The reporting person is both the trustee and the beneficiary of this trust and therefore the transfer of the 56,730 shares into his trust was of no economic substance. |
(3) | Shares are held in the David L. Dunkel Florida Intangible Tax Trust. |
(4) | Shares are restricted stock that will vest on December 21, 2006. |
(5) | Shares include 38,330 shares of restricted stock that will vest on January 1, 2006 and 98,166 shares of restricted stock that will vest on December 21, 2006. |
(6) | Shares are held by the David L. Dunkel 2003 Grantor Retained Annuity Trust, dated 10/3/2003. |
(7) | Shares are held by the David L. Dunkel 2004 Grantor Retained Annuity Trust, dated 4/13/2004. |