Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly .*If the form is filed by more than one reporting person, see Instruction 4(b)(v) |
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FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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1. Title of Derivative Security |
2. Conver- |
3. Trans- |
3A |
4. Transac- |
5. Number of Deriv- |
6. Date Exercisable |
7. Title and Amount of Underlying |
8. Price |
9. Number |
10. Owner- |
11. Nature |
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Security |
(Month/ |
(Month/ |
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Date |
Expiration |
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Amount or |
(Instr. |
icially |
Ity |
Ship |
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Code |
V |
(A) |
(D) |
Exercisable |
Date |
Title |
Number of Shares |
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Month |
rect (I) |
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Explanation of Responses: Indirect #1 By Carl H. Lindner Jr., et al, Trustees for the Carl H. Lindner Amended and Restated Family Trust dated 12-23-83. Indirect #2 By Edyth B. Lindner, Spouse. Indirect #5 By Joseph A. Pedeto, Trustee of the Edyth B. Lindner 1996-1 Qualified Annuity Trust U/A dated 11/6/96. Indirect #6 By Lou Ann Flint, Trustee of the Edyth B. Lindner 2002-2 Qualified Annuity Trust U/A dated 8/19/02. Indirect #7 By Joseph A. Pedeto, Trustee of the Edyth B. Lindner 1999-1 Qualified Annuity Trust U/A dated 12/22/99. Indirect #8 Indiana Premier Fund, LLC, a limited liability company directly or indirectly wholly-owned by the Reporting Person. |
**Intentional misstatements or omissions of facts constitute Federal Criminal violations |
Karl J. Grafe March 4, 2003 |
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) |
** Signature of Reporting Person Date |
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Carl H. Lindner |
Note: File three copies of this Form, one of which must be manually signed |
By: Karl J. Grafe, as attorney-in-fact |
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Page 2 |
If space provided is insufficient, see Instruction 6 for procedure |
SEC 1474 (9-02) |