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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 | ||||||||
Common Stock | $ 12 | 03/20/2002 | 03/19/2012 | Stock Option | 4,650 | 4,650 | D | ||||||||
Common Stock | $ 16 | 03/19/2003 | 03/18/2013 | Stock Option | 4,650 | 4,650 | D | ||||||||
Common Stock | $ 19.74 | 02/18/2004 | 02/17/2014 | Stock Option | 6,200 | 6,200 | D | ||||||||
Common Stock | $ 19.09 | 02/16/2005 | 02/15/2015 | Stock Option | 6,200 | 6,200 | D | ||||||||
Common Stock | $ 19.41 | 02/22/2006 | 02/21/2016 | Stock Option | 6,200 | 6,200 | D | ||||||||
Common Stock | $ 16.03 | 04/16/2003 | 04/15/2013 | Stock Option | 1,550 | 1,550 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SHROYER CHRISTOPHER M 100 WEST UNIVERSITY AVENUE CHAMPAIGN, IL 61820 |
President & CEO Busey Bank |
/s/ Christopher M. Shroyer | 07/15/2011 | |
**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) | Represents a grant by the Board of Directors of Restricted Stock Units of which 14,178 vests in 2 years and 10,633 vests in 5 years. |
(2) | Reflects ESOP and 401(k) plan allocations, contributions and dispositions that have occurred since the Reporting Person's most recent ownership report. |
(3) | Reporting Person's Form 4 filed July 14, 2010 inadvertently double-reported 424 shares held by Reporting Person, resulting in a 424 share overstatement of the shares directly held by Reporting Person. The 37,866 shares reported herein correctly reflects the shares directly held by the Reporting Person. |