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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 | ||||||||
Stock Options (Right to Buy) | $ 16.5 | 02/02/2012 | A | 6,950 | 02/02/2015 | 02/02/2019 | Common Stock | 6,950 | $ 16.5 | 6,950 | D | ||||
Stock Options (Right to Buy) | $ 12.1 | 02/02/2013 | 02/01/2017 | Common Stock | 6,420 | 6,420 | D | ||||||||
Stock Options (Right to Buy) | $ 27.38 | 01/28/2009 | 01/27/2013 | Common Stock | 2,030 | 2,030 | D | ||||||||
Stock Options (Right to Buy) | $ 26.72 | 02/02/2010 | 02/02/2017 | Common Stock | 2,530 | 2,530 | D | ||||||||
Stock Options (Right to Buy) | $ 14.71 | 02/01/2011 | 01/31/2015 | Common Stock | 5,600 | 5,600 | D | ||||||||
Stock Options (Right to Buy) | $ 11.96 | 02/03/2012 | 02/02/2016 | Common Stock | 6,430 | 6,430 | D | ||||||||
Phantom Stock | (4) | (1) | (2) | Common Stock | 14,678.866 (4) | 14,678.866 (4) | D | ||||||||
Stock Options (Right to Buy) | $ 16.39 | 05/02/2014 | 05/01/2018 | Common Stock | 5,660 | 5,660 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BUCHHOLZ SALLY R 11465 JOHNS CREEK PARKWAY, SUITE 400 JOHNS CREEK, GA 30097 |
VP Marketing/Customer Service |
/s/ Stephanie R. Maschmeier | 02/03/2012 | |
**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) | Immediate |
(2) | The shares of phantom stock become payable, in stock, upon reporting person's termination of service as an employee, in accordance with the terms of the Plan. |
(3) | Issuance of Performance Unit Awards under the Amended and Restated 2003 Omnibus Incentive Plan for the 2009-2011 performance period. |
(4) | Conversion rate of this derivative security on February 2, 2012 is 0.8512 resulting in 12,494.29 shares of common stock (underlying security in column 7). |
(5) | Restricted shares granted as part of the long-term incentive program approved by the Compensation Committee to address retention. The restricted stock award vests 25% in year three, 25% in year four and 50% in year five. |
(6) | Shares withheld at officer's election to cover tax liabilities incurred upon the issuance of Performance Unit Awards under the Amended and Restated 2003 Omnibus Incentive Plan for the 2008-2010 performance period. |