1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Common stock options
|
Â
(3)
|
06/21/2009 |
Common stock, no par value
|
60,602
|
$
1.5482
|
I
|
By self as co-trustee
(2)
(4)
|
Common stock options
|
Â
(3)
|
06/21/2009 |
Common stock, no par value
|
39,398
|
$
1.5482
|
I
|
By self as co-trustee
(2)
(5)
|
Common stock options
|
Â
(3)
|
06/21/2009 |
Common stock, no par value
|
61,500
(2)
|
$
1.5482
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
These shares are owned by Five Mile River Capital Partners LLC, of which Hart Capital LLC is the managing member. Steven W. Hart is the President and Sole Member of Hart Capital LLC. Steven W. Hart disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
(2) |
Pursuant to a voting agreement with Stonington Partners, Inc. II, Stonington Partners, Inc. II has the power to direct the voting of all the reported securities. |
(3) |
Currently exercisable. |
(4) |
These shares are owned by the Steven W. Hart 2003 Grantor Retained Annuity Trust, of which Steven W. Hart is co-trustee. |
(5) |
These shares are owned by the Steven W. Hart 2005 Grantor Retained Annuity Trust, of which Steven W. Hart is co-trustee. |