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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 | |
Bilsland Brent K 1183 EAST CANVASBACK DRIVE TERRE HAUTE, IN 47802 |
X | PRESIDENT AND CEO |
Brent K. Bilsland | 10/17/2016 | |
**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) | This Form 4 is being amended to reflect the correct amount of shares purchased following the reported transaction and to also correct the amount of shares purchased on April 1, 2016 for the Custodial Account FBO Augustus Bilsland, which was 900 shares, not 2,000. |
(2) | The reporting person is custodian of the account, but does not have any pecuniary interest in the shares that have been reported above as purchased and 0% pecuniary interest in any shares held in such custodial account. Thus, the amount of securities beneficially owned following the transactions is zero and the reporting person does not claim beneficial ownership of such shares. |
(3) | Shares are owned by the Alexa Bilsland Revocable Living Trust. Alexa Bilsland is the Trustee of such trust and is the reporting person's spouse. The reporting person disclaims any beneficial ownership of such shares. |
Remarks: This Form 4 is being amended to correct ownership totals following the transactions and also to report the correct number of shares purchased on April 1, 2016 by the Custodial Account FBO Augustus Bilsland. |