1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
2002 Options
|
05/09/2005 |
11/09/2007 |
Common Stock
(1)
(2)
(3)
(4)
|
40,000
|
$
4.99
|
D
|
Â
|
2003 Options
|
05/01/2006 |
11/01/2008 |
Common Stock
(1)
(2)
(3)
(4)
|
41,500
|
$
5.83
|
D
|
Â
|
Stock Appreciation Rights
(5)
|
07/14/2007 |
07/14/2010 |
Common Stock
(1)
(2)
(3)
(4)
|
40,000
|
$
7.45
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
As of the date of this report, the Issuer has one class of common stock (the "Common Stock") and three classes of preferred stock outstanding. |
(2) |
Effective January 31, 2006, immediately prior to the anticipated closing date of the Issuer's initial public offering ("IPO") of its class A common stock, par value $.01 per share (the "Class A Common Stock"), the Issuer will amend its certificate of incorporation. That amendment and restatement will, among other things, (i) create two new classes of stock, the Class A Common Stock and the class B common stock, par value $.01 per share (the "Class B Common Stock"), which will be convertible into Class A Common Stock on a one-for-one basis and (ii) reclassify each of the Issuer's then-outstanding shares of Common Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock into one-third of one share of Class B Common Stock (the "Reclassification"). |
(3) |
In addition, each outstanding option or Stock Appreciation Right that pertains to a share of Common Stock will be adjusted to pertain to one-third of one share of Class A Common Stock in the Reclassification and the Exercise Price will be adjusted appropriately to reflect the Reclassification. |
(4) |
Shares of Class B Common Stock will be automatically converted into Class A Common Stock immediately prior to any sale of such shares, including any sales made in the IPO. Holders of the Class A Common Stock and the Class B Common Stock will generally have identical rights, except that the holders of Class A Common Stock are entitled to one vote per share while holders of class B Common Stock are entitled to ten votes per share on matters to be voted on by shareholders with certain exceptions. After the Reclassification, the Issuer will have no outstanding preferred stock and two classes of outstanding common stock. |
(5) |
Each Stock Appreciation Right (SAR) represents the right to receive a cash award equal to the appreciation in value of a share of common stock over the base "exercise" price disclosed in the table on exercise. Upon the occurrence of the IPO, all of the outstanding cash settled SARs including those held by the reporting person will convert into stock options to purchase Class A Common Stock. The number of shares subject to each substituted stock option and the exercise price will be adjusted to take into account the Reclassification as described in note (1) above. |