UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
7% Convertible Subordinated Debenture | Â (1) | Â (2) | Common Stock | 129,698 (3) | $ 3.19 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 09/19/2007 | Common Stock | 5,000 (3) | $ 10.25 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 10/01/2008 | Common Stock | 2,000 (3) | $ 7.03 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 04/03/2010 | Common Stock | 2,000 (3) | $ 7.06 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 10/02/2010 | Common Stock | 2,000 (3) | $ 5.69 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 10/01/2011 | Common Stock | 2,000 (3) | $ 1.8 | I (4) | See Footnote 4. |
Common Stock Option | Â (1) | 10/14/2012 | Common Stock | 167 (3) | $ 5 | I (4) | See Footnote 4. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ESTATE OF SCURLOCK ARCH C & SCURLOCK NANCY M EXECUTIRX 10575 NW SKYLINE BLVD PORTLAND, OR 97231-2616 |
 |  X |  |  |
/s/ Nancy M. Scurlock, Individually and as Executrix of the Estate of Arch C. Scurlock | 10/03/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Exercisable immediately. |
(2) | The maturity date of the 7% Convertible Subordinated Debenture (the "Debenture") was January 27, 2003. However, the Debenture remained convertible into shares of Common Stock until paid in full. The Debenture and all interest thereon was paid in full on July 15, 2005, and is no longer outstanding. |
(3) | The Form 3 filed with the Securities and Exchange Commission on December 15, 2003 and amended on March 17, 2005 inadvertently failed to account for these securities beneficially owned by the Estate of Arch C. Scurlock (the "Estate") and Nancy M. Scurlock, Executrix of the Estate ("Mrs. Scurlock"). |
(4) | These securities are owned directly by the Estate and indirectly by Mrs. Scurlock, as Executrix of the Estate. |