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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GRIFFIN ROBERT E 817 MAXWELL AVENUE EVANSVILLE, IN 47717 |
 X |  X |  |  |
/s/ Robert E. Griffin | 01/04/2011 | |
**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) | Mr. Griffin has historically reported indirectly shares owned by his adult children even though such children have not resided in Mr. Griffin's household for many years. Consistent with the fact that Mr. Griffin has disclaimed beneficial ownership of those shares and in order to avoid potential confusion arising from the fact that Mr. Griffin's son, Patrick Griffin, is a separately reporting Section 16 person and that Mr. Griffin may not be aware of transactions undertaken by his adult children, Mr. Griffin will no longer report any beneficial ownership interest in shares held by any of his adult children. As last reported in his most recent Form 4 filed with the Commission on 11/29/10, Mr. Griffin continues to directly own 356,913 shares of Escalade common stock and to indirectly own 971,296 shares and 1,800,000 shares of Escalade common stock through a family limited partnership and a family limited liability company, respectively, as of 12/25/10. |