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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 | |
OLSON BRUCE J 10540 N. COUNTRY CLUB DRIVE MEQUON, WI 53092 |
X |
/s/ Steven R. Barth, Attorney-in-Fact for Bruce J. Olson | 06/11/2015 | |
**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) | Restricted stock granted May 28, 2015 vests and becomes exercisable as follows: 50% after 3rd anniversary of the date of the grant and 100% after 5th anniversary of the date of the grant or upon death, disability or retirement. |
(2) | Shares previously held by the reporting person directly were transferred into the Bruce J. Olson & Barbara A. Olson Revocable Trust in a transaction exempt from Section 16 reporting pursuant to Rule 16a-13. |
(3) | The Form 4 filed on June 1, 2015 reported that 753 shares previously held directly by the reporting person were transferred to the Bruce J. Olson & Barbara A. Olson Revocable Trust (the "Trust") in a transaction exempt from Section 16 reporting pursuant to Rule 16a-13. The actual number of shares transferred from the reporting person's direct holdings to the Trust was 21,149 shares. This Form 4 amendment is being filed to correct the number of shares transferred to the Trust as well as the total number of shares held by the Trust following the transfer of shares. |
(4) | As trustee of the Bruce J. Olson & Barbara A. Olson Revocable Trust. |