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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 | |
Bedell Donald C. 731 N. MAIN STREET SIKESTON, MO 63801 |
X |
/s/ Jordan A. Federko | 06/28/2016 | |
**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) | These shares are owned by the Africa Exempt Trust ("Exempt Trust"), a trust established by Mr. Bedell as to which he is not a trustee, but is a beneficiary. |
(2) | Shares owned by the Alexandra Nicole Bedell Trust ("Alexandra Bedell Trust"), a trust established by the reporting person for his granddaughter as to which he serves as trustee, but holds no pecuniary interest. Mr. Bedell disclaims beneficial ownership of all shares held in the Alexandra Bedell Trust. |
(3) | Shares owned by the Ashlyn Tate Bedell Trust ("Ashlyn Bedell Trust"), a trust established by the reporting person for his granddaughter as to which he serves as trustee, but holds no pecuniary interest. Mr. Bedell disclaims beneficial ownership of all shares held in the Ashlyn Bedell Trust. |
(4) | Shares owned by the Hailey Bedell Trust ("Hailey Bedell Trust"), a trust established by the reporting person for his granddaughter as to which he serves as trustee, but holds no pecuniary interest. Mr. Bedell disclaims beneficial ownership of all shares held in the Hailey Bedell Trust. |
(5) | Shares owned by the Charlie Cash Bedell Trust ("Charlie Cash Bedell Trust"), a trust established by the reporting person for his grandson as to which he serves as trustee, but holds no pecuniary interest. Mr. Bedell disclaims beneficial ownership of all shares held in the Charlie Cash Bedell Trust. |
Remarks: Attorney in fact for the Reporting Person, Donald C. Bedell |