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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 | ||||||||
Employee Stock Option (Right to Buy) | $ 56 | 04/22/2014 | A | 80,000 | (6) | 05/31/2023 | Common Stock | 80,000 | $ 0 | 80,000 | D | ||||
Employee Stock Option (Right to Buy) | $ 54 | (6) | 05/31/2021 | Common Stock | 2,500 | 2,500 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 27 | (7) | 05/31/2018 | Common Stock | 30,000 | 30,000 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 22.5 | (7) | 05/31/2016 | Common Stock | 10,000 | 10,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Polipnick Gary A. 2413 ADVANCE ROAD MADISON, WI 53718 |
Executive Vice President |
/s/ John J. Milek, Attorney-in-Fact | 04/24/2014 | |
**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) | Shares maintained in a self-directed IRA. |
(2) | Reporting person disclaims beneficial owenership of these shares. |
(3) | Reporting person's spouse serves as a Trustee of a Trust for the benefit of spouse's sibling. |
(4) | Reporting person relinquished investment and voting power to these shares owned by his adult daughter in June of 2012. |
(5) | Shares attributed to reporting persons's account within issuer's 401(K) Plan as of April 23, 2014. |
(6) | The options will vest and become exercisable over a period of five years, with 50% of the options vesting and becoming exercisable half way through the relevant vesting period and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) on each anniversary of the initial vesting date (with the final 10% vesting and becoming exercisable on May 1). |
(7) | The options will vest and become exercisable over a period of eight years, with 50% of the options vesting and becoming exercisable half way through the relevant vesting period and the remainder vesting and becoming exercisable proportionately on each anniversary of the grant thereafter. |