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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MOUG KEVIN G 215 S CASCADE ST FERGUS FALLS, MN 56537-2801 |
CFO & Treasurer |
/s/ Kevin G Moug by Debra J Lill -POA | 03/05/2007 | |
**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) | There was no specific price on this gift to his children, fair market value was $32.155 on 3/2/07. |
(2) | These shares represent the Employee Stock Purchase Plan. See below for other holdings: 1. Direct holding of 823.6423 shares of Common Stock held jointly with his wife in the Dividend Reinvestment Plan. 2. Direct holding of 3,000 shares of Common Stock which is a grant of Restricted Stock. 3. Direct holding of 10,223 shares of Common Stock which no longer carries the restriction. 4. Direct holding of 2,889 shares of Common Stock which is a grant of Performance shares. 5. Indirect holding of 191.4797 shares of Common Stock held by ESOP. 6. 25,000 stock options with expiration date of 4/8/2011. |
(3) | These shares were gifted to his daughter's account from his Employee Stock Purchase shares. |