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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 Option (right to buy) | $ 18.14 | 05/20/2009 | A | 2,500 | (3) | 05/20/2019 | Common Stock | 2,500 (4) | $ 0 | 7,750 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HUTCHINS KENT J 118 SECOND AVENUE SE P.O. BOX 73909 CEDAR RAPIDS, IA 52407-3909 |
VP/COO - United Life Ins. Co. |
/s/ Kent J. Hutchins by Dianne M. Lyons, Attorney-in-Fact | 05/26/2009 | |
**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) | The amount of securities beneficially held includes: approximately 105 shares held in a Company 401(k) account for Mr. Hutchins' benefit, based on a statement of the plan trustee; and 121 shares held in the Company's Employee Stock Ownership Plan for Mr. Hutchins' benefit. |
(2) | The number of securities shown as being held in or acquired by the Company 401(k) account for Mr. Hutchins' benefit are the approximate number of shares of common stock for which Mr. Hutchins has the right to direct the vote under the 401(k) plan. Such shares are not directly allocated to plan participants, but are instead held in a unitized fund consisting primarily of common stock, together with a small percentage of short-term investments. Participants acquire units of this fund. |
(3) | 2,500 options become exercisable in five equal installments of 500 options each on 05/20/2010, 05/20/2011, 05/20/2012, 05/20/2013 and 05/20/2014. |
(4) | The total number of derivative securites held includes: 1,600 stock options currently exercisable; 150 stock options vesting in three equal installments of 50 shares each on 09/01/2009, 09/01/2010, and 09/01/2011; 1,500 stock options vesting in three equal installments of 500 shares each on 02/16/2010, 02/16/2011, and 02/16/2012; 2,000 stock options vesting in four equal installments of 500 shares each on 02/15/2010, 02/15/2011, 02/15/2012, and 02/15/2013; and 2,500 stock options vesting in five equal installments of 500 shares each on 05/20/2010, 05/20/2011, 05/20/2012, 05/20/2013 and 05/20/2014. |