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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 | |||||||||
Stock Option (right to buy | $ 28.925 | Â | Â | Â | Â | Â | Â (3) | 05/15/2023 | Common Stock | Â | 1,755 | Â | ||
Stock Option (right to buy) | $ 20.4 | Â | Â | Â | Â | Â | 02/18/2016 | 02/18/2021 | Common Stock | Â | 545 | Â | ||
Stock Option (right to buy) | $ 21.095 | Â | Â | Â | Â | Â | Â (4) | 05/16/2022 | Common Stock | Â | 2,145 | Â | ||
Stock Option (right to buy) | $ 29.28 | Â | Â | Â | Â | Â | Â (5) | 11/16/2017 | Common Stock | Â | 2,000 | Â | ||
Stock Option (right to buy) | $ 22.46 | Â | Â | Â | Â | Â | Â (5) | 05/19/2020 | Common Stock | Â | 1,727 | Â | ||
Stock Option (right to buy) | $ 31.05 | Â | Â | Â | Â | Â | Â (5) | 05/17/2016 | Common Stock | Â | 1,333 | Â | ||
Stock Option (right to buy) | $ 39.13 | Â | Â | Â | Â | Â | Â (5) | 02/17/2016 | Common Stock | Â | 2,000 | Â | ||
Stock Option (right to buy) | $ 33.78 | Â | Â | Â | Â | Â | Â (5) | 05/21/2018 | Common Stock | Â | 3,000 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Skogman Kyle D. 118 2ND AVE SE CEDAR RAPIDS, IA 52401-1212 |
 X |  |  |  |
/s/ Kyle D. Skogman by Michael T. Wilkins Attorney-in-Fact | 02/12/2016 | |
**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) | The number of securities beneficially held directly by the Reporting Person includes: 19,901 shares held by the Reporting Person individually; and shares of restricted stock issued under the Issuer's Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan, including 857 shares that vest in equal installments on 5/21/2016 and 5/21/2017, and 1438 shares that vest in equal installments on 5/20/2016, 5/20/2017 and 5/20/2018. |
(2) | The total number of securities beneficially held indirectly by the Reporting Person includes: 1670 shares held in a simplified employee pension (SEP) account for Mr. Skogman's benefit; 200 shares held in an individual retirement account for Mr. Skogman's benefit; 2000 shares held in a trust account for the benefit of Mr. Skogman's wife; 3500 shares held in a trust account for the benefit of Mr. Skogman's wife; and 150 shares held in an individual retirement account for the benefit of Mr. Skogman's wife. |
(3) | 702 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/15/2016, 5/15/2017 and 5/15/2018, respectively. |
(4) | 1287 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/16/2016 and 5/16/2017, respectively. |
(5) | All options currently exercisable. |