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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 | ||||||||
Phantom Stock | $ 0 | 01/10/2005 | M | 3,533 | (3) | (3) | Class A Common Stock | 3,533 | $ 0 | 0 | D | ||||
Employee Stock Opt. Right to Buy | $ 16.41 | 03/04/2004 | 03/03/2013 | Class A Common Stock | 50,000 | 50,000 | D | ||||||||
Employee Stock Opt. Right to Buy | $ 22.6875 | 03/01/2000 | 02/28/2007 | Class A Common Stock | 24,000 | 24,000 | D | ||||||||
Employee Stock Opt. Right to Buy | $ 25.53 | 03/01/2005 | 02/28/2014 | Class A Common Stock | 50,000 | 50,000 | D | ||||||||
Employee Stock Opt. Right to Buy | $ 29 | 03/01/2002 | 02/28/2011 | Class A Common Stock | 50,000 | 50,000 | D | ||||||||
Employee Stock Opt. Right to Buy | $ 29.12 | 03/06/2003 | 03/05/2012 | Class A Common Stock | 50,000 | 50,000 | D | ||||||||
Employee Stock Opt. Right to Buy | $ 35.375 | 03/01/2001 | 02/28/2010 | Class A Common Stock | 40,000 | 40,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BERGER WALTER Z 40 MONUMENT CIRCLE, SUITE 700 INDIANAPOLIS, IN 46204 |
X | Exec Vice Pres, CFO, Treasurer |
J. Scott Enright, Attorney in Fact | 01/11/2005 | |
**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) | Phantom stock converted into shares of Class A Common Stock upon issuance pursuant to the 2004 Stock Compensation Program. |
(2) | The transaction was effected pursuant to a Stock Sale Agreement established in accordance with Rule 10b5-1. |
(3) | Shares listed are based on a percentage of the named executive's estimated cash compensation, excluding bonus, during calendar year 2004. Since the number of shares awarded in January 2005 is to be based upon the executive's actual cash compensation, excluding bonus, during the calendar year 2004, the number of shares actually awarded in January 2005 may vary. The Phantom Stock will expire upon issuance of Class A Common Stock in January 2005. |