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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 | ||||||||
Employee Stock Option (right to buy) (1) | $ 17.07 | 07/09/2008 | 07/09/2017 | Common Stock | 15,500 | 15,500 | D | ||||||||
Employee Stock Option (right to buy) (2) | $ 13.31 | 10/30/2008 | 10/30/2017 | Common Stock | 12,000 | 12,000 | D | ||||||||
Common Stock Option (Right to Buy) (3) | $ 10.56 | 04/14/2009 | 04/14/2018 | Common Stock | 25,500 | 25,500 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 4.18 | 04/13/2009 | A | 40,000 | 04/13/2010(6) | 04/13/2019 | Common Stock | 40,000 | $ 4.18 | 40,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Connell Susan C 2400 XENIUM LANE NORTH PLYMOUTH, MN 55441 |
ExecVP/ChiefMerchandingOfficer |
Sandra Miller, Attorney-in-Fact | 05/04/2009 | |
**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 July 9, 2007, the reporting person was granted an option to exercise 15,500 shares of common stock. The option vests equally in three annual installments beginning on July 9, 2008. |
(2) | On October 30, 2007, the reporting person was granted an option to exercise 12,000 shares of common stock. The option vests equally in three annual installments beginning on October 30, 2008. |
(3) | On April 14, 2008, the reporting person was granted an option to exercise 25,500 shares of Common Stock. The option vests equally in three annual installments beginning on April 14, 2009. |
(4) | On April 13, 2009, the reporting person was granted 15,000 shares of Common Stock pursuant to a Restricted Stock Agreement. The shares are subject to forfeiture and are scheduled to vest as to one-third of the shares on each of April 13, 2010, April 13, 2011 and April 13, 2012, pursuant to the terms of the Restricted Stock Agreement. |
(5) | On April 13, 2009, the reporting person was granted 22,500 shares of Common Stock pursuant to a Restricted Stock Agreement. All or a portion of the shares are subject to forfeiture based on pre-determined corporate financial performance criteria for fiscal year 2010. Following the completion of fiscal 2010, a determination will be made if the threshold financial performance criteria have been met or exceeded. If the threshold level of performance is not met, all of the Restricted Stock is forfeited. To the extent that the performance-based restrictions lapse as to some or all of the Restricted Stock, then the shares vest as follows: (i) one-third as of the date the performance-based restrictions lapse and (ii) one-third each on April 13, 2011 and April 13, 2012. |
(6) | On April 13, 2009, the reporting person was granted an option to exercise 40,000 shares of Common Stock. The option vests equally in five annual installments of 8,000 shares beginning on April 13, 2010. |
(7) | On April 13, 2009, the Company determined that the performance goals applicable to 12,750 shares of restricted stock granted to the reporting person on April 14, 2008 had not been met. Thus, the 12,750 shares of restricted stock were forfeited. |
Remarks: This amended Form 4 is being filed to add a line on Table I to indicate that 12,750 shares of restricted stock were forfeited, as the reporting person failed to meet certain performance goals associated with those shares of restricted stock. All other information on the original Form 4 filed April 15, 2009 remains unchanged. |