|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 |
|
| |||||||||||||||||||||||||||||||||||||||||||
|
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 2270 (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 at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
|||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Griffin Patrick J 817 MAXWELL AVENUE EVANSVILLE, IN 47711 |
 X |  X |  (See Remarks) |  |
/s/ Patrick Griffin | 01/04/2011 | |
**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) | Mr. Griffin first became subject to Section 16 reporting on 4/24/09 upon his election to the Escalade Board of Directors. His original Form 3 filing under-reported his direct ownership of Escalade common stock by 42,000 shares. The number of shares reported on this Form 5 reflects his entire direct ownership as of 4/24/09. All subsequent direct transactions have been reported on Form 4s previosuly filed by Mr. Griffin and his total direct holding as of 12/25/10 was 86,702 shares. |
(2) | Mr. Griffin's original Form 3 filing failed to include his indirect ownership of shares held by a family limited partnership. The number of shares reported on this Form 5 reflects his entire indirect ownership of shares held by that family limited partnership as of 4/24/09. All subsequent transactions by that family limited partnership have been reported on Form 4s previously filed by Mr. Griffin and his total indirect ownership of shares held by the family limited partnership as of 12/25/10 was 971,296 shares. |
(3) | The shares held by the family limited partnership and the family limited liability company are deemed to be indirectly owned by both Mr. Griffin and his father, Robert E. Griffin. Mr. Robert Griffin has previously reported his indirect ownership of these shares for many years. Both Mr. Patrick Griffin and Mr. Robert Griffin currently intend to continue to separately report their indirect ownership of these shares for Section 16 reporting purposes. |
(4) | Mr. Griffin's original Form 3 filing failed to include his indirect ownership of shares held by a family limited liability company. The number of shares reported on this Form 5 reflects his entire indirect ownership of shares held by that family limited liability company as of 4/24/09. The family limited liability company has had no transactions subsequent to that date and Mr. Griffin's total indirect ownership of shares held by the family limited liability company as of 12/25/10 remains at 1,800,000 shares. |
 Remarks: Mr. Griffin is President of Martin Yale Group. |