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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 | ||||||||
Employee Stock Option (Right to Buy) | $ 44.81 | 02/05/2010 | D | 75,000 | (3) | 08/20/2019 | Class A Common | 75,000 | (3) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 44.77 | 02/05/2010 | D | 55,200 | (4) | 05/27/2019 | Class A Common | 55,200 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 50.29 | 02/05/2010 | D | 150,000 | (4) | 08/15/2017 | Class A Common | 150,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 59.13 | 02/05/2010 | D | 50,000 | (4) | 06/14/2017 | Class A Common | 50,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 50.25 | 02/05/2010 | D | 100,000 | (4) | 03/18/2015 | Class A Common | 100,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 51.9 | 02/05/2010 | D | 16,000 | (4) | 07/30/2014 | Class A Common | 16,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 44.1 | 02/05/2010 | D | 12,000 | (4) | 07/21/2013 | Class A Common | 12,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 37.57 | 02/05/2010 | D | 8,000 | (4) | 07/23/2012 | Class A Common | 8,000 | (4) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 44.87 | 02/05/2010 | D | 8,800 | (4) | 02/05/2010 | Class A Common | 8,800 | (4) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Blodgett Thomas W 3748 HORSEMINT TRAIL LEXINGTON, KY 40509 |
Executive Vice President |
/s/ Thomas W. Blodgett | 02/09/2010 | |
**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) | Disposed of pursuant to merger agreement among issuer, Boulder Acquisition Corp and Xerox Corporation in exchange for $5,879.89 and 1,559 shares of Xerox common stock having a market value of $8.65 per share on the effective date of the merger. |
(2) | Disposed of pursuant to merger agreement in exchange for $14,807.98 and 3,928 shares of Xerox common stock having a market value of $8.65 per share on the effective date of the merger. |
(3) | This option was assumed by Xerox in the merger and replaced with an option to purchase 7.085289 shares of Xerox common stock. At this time it has no purchase or sale price. |
(4) | This option was assumed by Xerox in the merger and replaced with an option to purchase 7.085289 shares of Xerox common stock for exercise prices ranging from $5.30 to $8.35. |