|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Golub Lawrence E 555 MADISON AVENUE 6TH FLOOR NEW YORK, NY 10022 |
X |
/s/ Lawrence E. Golub | 06/23/2005 | |
**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) | On June 16, 2005, the Bragol 2004 Exempt Trust (the "Trust") entered into an underwriting agreement for a firm commitment underwritten offering in connection with which it agreed to sell 400,000 shares of Common Stock to an underwriter group pursuant to an effective Registration Statement on Form S-1 (Registration No. 333-125166) filed by CHCI. The underwriting agreement also provides the underwriter group with an over-allotment option to purchase up to an additional 150,250 shares of Issuer common stock from the Trust within thirty days after the offering. On June 21, 2005, the underwriter group exercised its over-allotment option as to 150,250 shares of Issuer common stock held by the Trust. The transaction closed on June 22, 2005 |
(2) | Includes 366,833 shares of Class A Common Stock held by The Lawrence E. Golub Grantor Retained Annuity Trust, with respect to which Mr. Golub disclaims beneficial ownership. |