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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) | $ 0.247 (3) | 03/25/2005 | A | 1,034,219 (3) | 03/25/2005 | 03/25/2015 | Class C Common Stock | 1,034,219 (3) | $ 0.247 (3) | 1,034,219 (3) | D | ||||
Employee Stock Option (right to buy) | $ 0.331 (4) | 03/31/2008 | A | 638,138 (4) | 03/31/2008 | 03/31/2013 | Class C Common Stock | 638,138 (4) | $ 0.331 (4) | 638,138 (4) | D | ||||
Employee Stock Option (right to buy) | $ 0.317 (5) | 12/04/2009 | A | 1,215,506 (5) | 03/04/2010 | 12/04/2014 | Class C Common Stock | 1,215,506 (5) | $ 0.317 (5) | 1,215,506 (5) | D | ||||
Employee Stock Option (right to buy) | $ 0.174 (6) | 12/03/2010 | A | 1,157,625 (6) | 03/03/2011 | 12/03/2015 | Class C Common Stock | 1,157,625 (6) | $ 0.174 (6) | 1,157,625 (6) | D | ||||
Employee Stock Option (right to buy) | $ 0.13 (7) | 12/02/2011 | A | 1,102,500 (7) | 03/02/2012 | 12/02/2016 | Class C Common Stock | 1,102,500 (7) | $ 0.13 (7) | 1,102,500 (7) | D | ||||
Employee Stock Option (right to buy) | $ 1.63 (8) | 04/13/2012 | A | 105,000 (8) | 07/13/2012(8) | 04/13/2017 | Class A Common Stock | 105,000 (8) | $ 1.63 (8) | 105,000 (8) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
QUIST SCOTT M 7 WANDERWOOD WAY SANDY, UT 84092 |
X | X | Chairman of Board; Pres.; CEO |
/s/ Scott M. Quist | 04/30/2013 | |
**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) | Received pursuant to a 5% stock dividend declared on December 7, 2012 and paid on February 1, 2013. |
(2) | Owned jointly by the reporting person and his wife. Does not include a total of 251,276 shares of Class A Common Stock and 413,513 shares of Class C Common Stock owned indirectly by the reporting person in the Employee Stock Ownership Plan (ESOP), the 401(k) Retirement Savings Plan, the Deferred Compensation Plan, and Associated Investors. |
(3) | This option was originally reported as an option for either 70,000 shares of Class A Common Stock at an exercise price of $3.51 per share or 700,000 shares of Class C Common Stock at an exercise price of $0.351 per share, or a combination thereof. This option reflects the reporting person's election to have an option for 700,000 shares of Class C Common Stock at an exercise price of $0.351 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect 5% stock dividends paid on February 17, 2006, February 9, 2007, February 8, 2008, February 6, 2009, February 5, 2010, February 4, 2011, February 3, 2012 and February 1, 2013. |
(4) | This option was originally granted as an option for either 50,000 shares of Class A Common Stock at an exercise price of $4.24 per share or 500,000 shares of Class C Common Stock at an exercise price of $0.424 per share, or any combination thereof. This option reflects the reporting person's election to have an option for 500,000 shares of Class C Common Stock at an exercise price of $0.424 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect 5% stock dividends paid on February 6, 2009, February 5, 2010, February 4, 2011, February 3, 2012 and February 1, 2013. |
(5) | This option was originally granted as an option for either 100,000, shares of Class A Common Stock at an exercise price of $3.87 per share or 1,000,000 shares of Class C Common Stock at an exercise price of $0.387 per share, or any combination thereof. This option reflects the reporting person's election to have an option for 1,000,000 shares of Class C Common Stock at an exercise price of $0.387 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect 5% stock dividends paid on February 5, 2010, February 4, 2011, February 3, 2012 and February 1, 2013. |
(6) | This option was originally granted as an option for either 100,000 shares of Class A Common Stock at an exercise price of $2.01 per share or 1,000,000 shares of Class C Common Stock at an exercise price of $0.201 per share, or any combination thereof. This option reflects the reporting person's election to have an option for 1,000,000 shares of Class C Common Stock at an exercise price of $0.201 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect 5% stock dividends paid on February 4, 2011, February 3, 2012 and February 1, 2013. |
(7) | This option was granted on December 2, 2011 as an option for either 100,000 shares of Class A Common Stock at an exercise price of $1.43 per share or 1,000,000 shares of Class C Common Stock at an exercise price of $0.143 per share, or any combination thereof. This option reflects the reporting person's election to have an option for 1,000,000 shares of Class C Common Stock at an exercise price of $0.143 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect a 5% stock dividend paid on February 3, 2012 and February 1, 2013. This option vests in four equal quarterly installments, beginning on March 2, 2012, until such shares are fully vested. |
(8) | This option was granted on April 13, 2012 as an option for either 100,000 shares of Class A Common Stock at an exercise price of $1.34 per share or 1,000,000 shares of Class C Common Stock at an exercise price of $0.134 per share, or any combination thereof. At such time as the 2003 Stock Option Plan is amended to provide for the issuance of an additional 1,000,000 shares of Class C Common Stock, the reporting person will elect to have the option for 1,000,000 shares of Class C Common Stock at an exercise price of $0.134 per share This option reflects the reporting person's election to have an option for 1,000,000 shares of Class C Common Stock at an exercise price of $0.134 per share, but adjusted pursuant to the anti-dilution provisions of the 2003 Stock Option Plan to reflect a 5% stock dividend paid on February 1, 2013. The option vests in four equal quarterly installments of Class A Common Stock, beginning on July 13, 2012, until such shares are fully vested. |