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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 | ||||||||
Prepaid Variable Forward Contract (right to sell) (1) | $ 0 | 06/26/2006 | J(1) | 1 | 06/25/2003 | 06/26/2006 | Common Stock | 1 | $ 0 (5) | 0 | I | TASAN Ltd Partnrship |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SANSONE THOMAS A 10560 DR. MARTIN LUTHER KING JR. ST N ST. PETERSBURG, FL 33716-3718 |
X |
By: Robert L. Paver, Attorney-in-Fact For: Thomas A. Sansone | 06/28/2006 | |
**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) | On June 25, 2003, the reporting person entered into a prepaid variable forward contract with a securities brokerage firm. Under the terms of the documents relating to such contract, the reporting person had to deliver up to the 250,000 shares of the Issuer's common stock referenced in column 7 of Table II to the securities brokerage firm on June 26, 2006. The number of shares the reporting person had to deliver on such date was a function of the closing price of the Issuer's common stock on such date. The amounts that would be in columns 2 and 8 of Table II were also a function of, among other things, the closing price of the Issuer's common stock on June 26, 2006. Such prepaid variable forward contract terminated by its terms on 6/26/06 and pursuant to its terms 200,283 shares of the Issuer's common stock were retained by the securities brokerage firm on 6/26/06 and 49,717 were retained by reporting person. |
(2) | The derivative security is a prepaid variable forward contract as referenced in footnote (2). $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system. |
(3) | TAS Management, Inc., of which Mr. Sansone is the president, is the sole general partner of TASAN Limited Partnership. |
(4) | Mr. Sansone is a director of Life's Requite, Inc., a private charitable foundation, and may be deemed to have shared voting and dispositive power over shares held by the foundation. |
(5) | $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system. |