UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) (1) | 10/09/2015 | 10/08/2023 | Common Stock | 518 | $ 28.99 | D | Â |
Stock Option (Right to Buy) (1) | 10/09/2016 | 10/08/2023 | Common Stock | 518 | $ 28.99 | D | Â |
Stock Option (Right to Buy) | 02/11/2016 | 02/10/2024 | Common Stock | 1,348 | $ 27.13 | D | Â |
Stock Option (Right to Buy) | 02/11/2017 | 02/10/2024 | Common Stock | 1,349 | $ 27.13 | D | Â |
Stock Option (Right to Buy) | 04/22/2015 | 04/21/2024 | Common Stock | 355 | $ 27.21 | D | Â |
Stock Option (Right to Buy) | 04/22/2016 | 04/21/2024 | Common Stock | 354 | $ 27.21 | D | Â |
Stock Option (Right to Buy) | 04/22/2017 | 04/21/2024 | Common Stock | 355 | $ 27.21 | D | Â |
Stock Option (Right to Buy) | 02/11/2016 | 02/10/2025 | Common Stock | 1,771 | $ 28 | D | Â |
Stock Option (Right to Buy) | 02/11/2017 | 02/10/2025 | Common Stock | 1,770 | $ 28 | D | Â |
Stock Option (Right to Buy) | 02/11/2018 | 02/10/2025 | Common Stock | 1,770 | $ 28 | D | Â |
Stock Option (Right to Buy) | 02/10/2017 | 02/09/2026 | Common Stock | 3,405 | $ 16.51 | D | Â |
Stock Option (Right to Buy) | 02/10/2018 | 02/09/2026 | Common Stock | 3,404 | $ 16.51 | D | Â |
Stock Option (Right to Buy) | 02/10/2019 | 02/09/2026 | Common Stock | 3,405 | $ 16.51 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Klimek Amy M. C/O 9341 COURTLAND DRIVE NE ROCKFORD, MI 49351 |
 |  |  Sr. VP of Human Resources |  |
/s/ Timothy E. Foley, by Power of Attorney | 05/26/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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 number of shares and exercise price have been adjusted to reflect the Company's November 1, 2013 two-for-one stock split. |
(2) | The number of shares reported includes 9,913 time-vested restricted shares of common stock granted to the reporting person on various dates from October 2013 to February 2016, under the Company's Stock Incentive Plan of 2013. |
 Remarks: Exhibit List: Exhibit 24 - Power of Attorney |