|
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 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||
| 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) |
||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Stock Option (right to buy) | $ 23.96 (10) | 02/15/2013 | A | 4,684 | (11) | 02/15/2023 | Common Stock | 4,684 | $ 0 | 4,684 | D | ||||
| Stock Option (right to buy) | $ 20.54 | (12) | 02/18/2021 | Common Stock | 4,559 | 4,559 | D | ||||||||
| Stock Option (right to buy) | $ 22.42 | (13) | 05/19/2020 | Common Stock | 3,000 | 3,000 | D | ||||||||
| Stock Option (right to buy) | $ 33.43 | (14) | 05/21/2018 | Common Stock | 4,485 | 4,485 | D | ||||||||
| Stock Option (right to buy) | $ 35.23 | (15) | 02/16/2017 | Common Stock | 5,000 | 5,000 | D | ||||||||
| Stock Option (right to buy) | $ 39.13 | (15) | 02/17/2016 | Common Stock | 2,500 | 2,500 | D | ||||||||
| Stock Option (right to buy) | $ 32.39 | (15) | 02/18/2015 | Common Stock | 2,500 | 2,500 | D | ||||||||
| Stock Option (right to buy) | $ 21.66 | (15) | 02/20/2014 | Common Stock | 1,000 | 1,000 | D | ||||||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| CONNER DAVID E 118 SECOND AVENUE SE P.O. BOX 73909 CEDAR RAPIDS, IA 52407-3909 |
VP/Chief Claims Officer | |||
| /s/ David E. Conner by Dianne M. Lyons, Attorney-in-Fact | 02/19/2013 | |
| **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) | This transaction represents a grant of restricted stock shares to the Reporting Person under the Issuer's 2008 Stock Plan. |
| (2) | The price per share is the closing price of the Issuer's common stock on the date of the reported transaction. |
| (3) | The total number of securities beneficially held directly by the Reporting Person following the reported transaction includes: 1,226 shares of restricted stock issued under the Issuer's 2008 Stock Plan which vest, subject to certain conditions on 05/21/2013; 1,875 shares of restricted stock issued under the Issuer's 2008 Stock Plan which vest, subject to certain conditions, on 02/18/2016 and 1,335 shares of restricted stock issued under the Issuer's 2008 Stock Plan which vest, subject to certain conditions on 02/15/2018. |
| (4) | The deemed execution date of this transaction is the statement date as provided by the Issuer's 401(k)Plan trustee/administrator. |
| (5) | Shares acquired through payroll deduction and participation in Issuer's 401(k) Plan. |
| (6) | This transaction qualifies as a non-discretionary transaction from a tax-qualified plan and is voluntarily reported on Form 4. |
| (7) | Represents the approximate number of shares acquired by the trustee/administrator of the Issuer's 401(k) Plan for the Reporting Person's benefit, based on a statement of the trustee/administrator. |
| (8) | The price per share is based on a statement provided by the Issuer's 401(k) Plan trustee/administrator. |
| (9) | Th number of securities shown as being held in or acquired or disposed of by the Issuer's 401(k) account for the Reporting Person's benefit is the approximate number of shares of common stock for which the Reporting Person 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. |
| (10) | The exercise price of these stock options represents the closing price of the Issuer's common stock on the grant date. |
| (11) | 3,748 options that become exercisable in four equal installments of 937 options each on 02/15/2014, 02/15/2015, 02/16/2016 and 02/17/2017; and 936 options that become exercisable on 02/15/2018. |
| (12) | 1,924 options currently exercisable; 1,924 options become exercisable in two equal installments of 962 options each on 02/18/2014 and 02/18/2015; and 961 options become exercisable 02/18/2016. |
| (13) | 1,200 options currently exercisable; 1,800 options become exercisable in three equal installments of 600 options each on 05/19/2013, 05/19/2014 and 05/19/2015. |
| (14) | 3,588 options currently exercisable and 897 options become exercisable on 05/21/2013. |
| (15) | All options currently exercisable. |