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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 | |
SWEARENGIN MICHAEL D 233 S PATTERSON SPRINGFIELD, MO 65801 |
 |  |  Senior Vice President |  |
Michael Swearengin | 02/14/2005 | |
**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) | Change in shares held under the Company's 401K Plan for the year ended 12/31/04. |
(2) | Change in shares held under the Company's Employee Stock Purchase Plan for the year ended 12/31/04. |
(3) | Direct ownership increased by 205 shares that were released on December 31, 2004 from the 2001, 2002 and 2003 Performance Incentive Plans Escrow account. |
(4) | The 2002 Performance Incentive Plan award relates to fiscal year 2002. Shares released in December 2004, that pertained to the 2002 Performance Incentive Plan are now reflected in direct ownership, see footnote 3. |
(5) | The 2003 Performance Incentive Plan award relates to fiscal year 2003. Shares released in December 2004, that pertained to the 2003 Performance Incentive Plan are now reflected in direct ownership, see footnote 3. |
(6) | The 2001 Performance Incentive Plan award relates to fiscal year 2001. Shares released in December 2004, that pertained to the 2001 Performance Incentive Plan are now reflected in direct ownership, see footnote 3. |