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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 | |
Rose Paul David 14465 NW BELLE PL BEAVERTON, OR 97006 |
X |
/s/ Shelia I. Short, Attorney-in-fact for Paul D. Rose | 01/25/2011 | |
**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) | Represents a grant of restricted stock under the issuer's 2010 Stock Award Plan. Forty percent of the granted shares of restricted stock vested immediately on the date of grant. The remaining shares of restricted stock granted are scheduled to vest in two equal installments on the first and second anniversaries of the date of grant, unless earlier per the terms of the award agreement. |
(2) | Includes 290,472 shares held in IRA of spouse and 363,600 shares held by spouse, beneficial ownership of which is disclaimed by reporting person. |
(3) | Includes 1,968,666 shares held in 401(k) Plan of Oregon Anesthesiology Group, beneficial ownership of which is disclaimed by reporting person. |
(4) | Includes 278,640 shares held as Trustee of Trusts of which 2 minor children are beneficiaries. Beneficiaries are non-emancipated children of reporting person. |
(5) | Includes 243,900 shares held as Trust of Trusts, beneficial ownership of which is disclaimed by reporting person. |