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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 | |
WASHLOW ROBERTA PORT C/O ROBERT WASHLOW, BAY WEST MANAGEMENT 555 SKOKIE BOULEVARD, SUITE 215 NORTHBROOK, IL 60062 |
X |
Roberta Port Washlow | 03/21/2011 | |
**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) | Reflects the withdrawal of shares which were held in a voting trust, for which the reporting person was a co-trustee, by participants in the voting trust upon the termination of the voting trust. |
(2) | Reflects the distribution of shares from a trust with respect to the reporting person's residuary interest, which amount was previously not determinable. |
(3) | Additional 403,830 shares in column 5 reflect shares previously held through partnerships, for which the reporting person was a co-managing general partner, which were distributed to the reporting person on March 18, 2011 in connection with a pro rata distribution to all partners in connection with the dissolution of the partnerships. |
(4) | Reflects shares previously held through partnerships referenced in footnote (3) that were distributed to the reporting person on March 18, 2011. Excludes 2,385,771 shares previously held through the partnerships referenced in footnote (3) that were distributed on a pro rata basis to partners, other than the reporting person, on March 18, 2011 in connection with the dissolution of the partnerships. |