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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 | ||||||||
Incentive Stock Option | $ 6.15 | (3) | 06/05/2012 | Class A Common Stock | 27,030 | 27,030 | D | ||||||||
Incentive Stock Option (reload) | $ 8.2 | (3) | 10/27/2010 | Class A Common Stock | 11,465 | 11,465 | D | ||||||||
Incentive Stock Option | $ 6.52 | (3) | 05/03/2013 | Class A Common Stock | 32,436 | 32,436 | D | ||||||||
Incentive Stock Option (reload) | $ 5.78 | (3) | 04/29/2014 | Class A Common Stock | 29,058 | 29,058 | D | ||||||||
Incentive Stock Option (reload) | $ 4.86 | (3) | 05/07/2015 | Class A Commmon Stock | 30,582 | 30,582 | D | ||||||||
Incentive Stock Option | $ 1.55 | 06/26/2010(4) | 06/25/2016 | Class A Common Stock | 15,000 | 15,000 | D | ||||||||
Incentive Stock Option | $ 2.23 | 10/01/2010 | A | 30,000 | 10/01/2011(4) | 09/30/2017 | Class A Common Stock | 30,000 | (5) | 30,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GARDNER HERBERT M P O BOX 463 WADING RIVER, NY 11792 |
X | Chairman of Board and CEO |
Herbert M. Gardner | 10/05/2010 | |
**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) | Includes 203,115 shares of Supreme Class A Common Stock owned by IRAs of reporting person. |
(2) | Reporting person disclaims beneficial ownership of shares owned by wife. |
(3) | Currently exercisable. |
(4) | Stock options are exercisable as follows: 33% exercisable after one year from date of grant; additional 33% exercisable after two years from date of grant; and remaining 34% exerciable three years from date of grant. |
(5) | Not applicable. |