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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 | |
REISMAN RICHARD J DMD 9 ST. ANDREWS DRIVE QUEENSBURY, NY 12804 |
X |
Thomas J. Murphy, Attorney in Fact | 11/30/2012 | |
**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) | Semi-annual Director's Retainer Payment. Shares acquired by the Administrator of the Directors' Stock Plan. |
(2) | The information provided reflects 2,101 shares held with a broker that includes 41 shares resulting from the Company's 2 percent stock dividend distributed on September 27, 2012; 11,583 shares acquired under the Company's DRIP that includes 229 additional shares acquired since June 15, 2012 and 227 shares resulting from the Company's 2 percent stock dividend distributed on September 27, 2012; and 10,183 shares acquired under the Company's ESPP that includes 330 additional shares acquired since June 1, 2012 and 198 shares resulting from the Company's 2 percent stock dividend distributed on September 27, 2012. None of these transactions were required to be reported on a Form 4 and this information is being furnished to disclose the total holdings of the insider as of the date of this Form 4. |
(3) | The information provided reflects 496 shares held in wife's DRIP that includes 10 additional shares additional shares acquired since June 15, 2012 and 9 shares resulting from the Company's 2 percent stock dividend distributed on Sept. 27, 2012. None of these transactions were required to be reported on a Form 4 and this information is being furnished to disclose the total holdings of the insider as of the date of this Form 4. |