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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 | ||||||||
Restricted Stock Units | (1) | 12/07/2015 | D(2) | 0.29 | (3) | 12/31/2015 | Common stock | 0.29 | $ 0 | 103 | D | ||||
Right to Purhcase (4) | $ 63 | 12/07/2015 | D(5) | 0.14 | (4) | 01/22/2018 | Common stock | 0.14 | $ 0 | 2,857 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SCHUMACHER ALAN H 801 CRESCENT CENTRE DRIVE SUITE 600 FRANKLIN, TN 37067 |
X |
Gail E. Lehman, Attorney-in-Fact for Alan H Schumacher | 12/09/2015 | |
**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) | Each restricted stock unit is the economic equivalent of one share of Issuer's common stock. |
(2) | The fractional restricted stock unit was cancelled by the Issuer on December 7, 2015 in exchange for a cash payment equal to the fraction multiplied by $0.59, the closing market price per share of the Issuer's common stock as reported by OTC Pink Marketplace on December 7, 2015. |
(3) | The reported transaction relates to shares of restricted stock units (RSUs) initially granted on January 1, 2015 and additional dividend equivalent units granted through June 10, 2015. All remaining outstanding RSUs will vest on December 31, 2015. |
(4) | The reported transaction relates to the director stock option granted on January 22, 2008. The option has vested. |
(5) | The fractional share underlying the stock option was cancelled by the Issuer on December 7, 2015 in exchange for a cash payment equal to the fraction multiplied by $0.59, the closing market price per share of the Issuer's common stock as reported by OTC Pink Marketplace on December 7, 2015. |