|
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 |
|
| ||||||||||||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Prepaid Variable Forward Contract (right to sell) (1) | $ 0 | 01/24/2005 | J(3) | 1 | 09/24/2003 | 01/24/2005 | Common Stock | 208,000 | $ 0 (4) | 0 | D | ||||
Prepaid Variable Forward Contract (right to sell) (2) | $ 0 | 01/24/2005 | J(5) | 1 | 09/26/2003 | 01/24/2005 | Common Stock | 60,000 | $ 0 (4) | 0 | I | by Spouse |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LAVITT MEL S 10560 DR. MARTIN LUTHER KING JR. ST N ST. PETERSBURG, FL 33716-3718 |
X |
By: Chester E. Bacheller, Attorney-in-Fact For: Mel S. Lavitt | 01/26/2005 | |
**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) | On 9/24/02, the reporting person entered into a prepaid variable forward contract with a securities brokerage firm. Under the terms of such contract, the reporting person had to deliver up to 208,000 shares of the Issuer's common stock to the securities brokerage firm on 9/24/03. The number of shares the reporting person would be required to deliver was a function of the closing price of the Issuer's common stock on such date. The contract was modified on 6/24/03, to change certain terms thereof, as referenced in the reporting person's Form 4 filed with the SEC on 6/26/03, and on 1/20/04, to change certain terms thereof, as referenced in the reporting person's Form 4 filed with the SEC on 1/22/04. Pursuant to the terms of the agreements governing the foregoing, the reporting person delivered 208,000 shares to the securities brokerage firm on 1/24/05. $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system. |
(2) | On 9/26/02, the spouse of the reporting person entered into a prepaid variable forward contract with a securities brokerage firm. Under the terms of such contract, the reporting person's spouse had to deliver up to 60,000 shares of the Issuer's common stock to the securities brokerage firm on 9/26/03. The number of shares the reporting person's spouse would be required to deliver was a function of the closing price of the Issuer's common stock on such date. The contract was modified on 6/24/03, to change certain terms thereof, as referenced in the reporting person's Form 4 filed with the SEC on 6/26/03, and on 1/20/04, to change certain terms thereof, as referenced in the reporting person's Form 4 filed with the SEC on 1/22/04. Pursuant to the terms of the agreements governing the foregoing, the reporting person's spouse delivered 60,000 shares to the securities brokerage firm on 1/24/05. $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system |
(3) | The prepaid variable forward contract referenced in footnote 1 terminated by its terms on 1/24/05 and 208,000 shares of the Issuer's common stock were delivered by the reporting person to the securities brokerage firm on 1/24/05. |
(4) | $0.00 has been inserted to satisfy the requirements to submit this form via the EDGAR system. |
(5) | The prepaid variable forward contract referenced in footnote 2 terminated by its terms on 1/24/05 and 60,000 shares of the Issuer's common stock were delivered by the reporting person's spouse to the securities brokerage firm on 1/24/05. |