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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 | ||||||||
Stock Option (right to buy) | $ 40.21 | 02/25/2011 | A | 6,906 | (3) | 02/25/2021 | Common Stock | 6,906 | $ 0 | 6,906 | D | ||||
Deferred Stock Units - Short-Term Incentive Plan | (4) | 03/01/2011 | M | 3,550 (4) | (4) | (4) | Common Stock | 3,550 | $ 36.02 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DYBSKY THOMAS 701 NORTH LILAC DR. MINNEAPOLIS, MN 55422 |
VP, Administration |
/s/ Amy M. Jensen on behalf of Thomas J. Dybsky | 03/01/2011 | |
**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) | The sales price represents the weighted average sales price ranging in price from $40.39 to $40.51. |
(2) | Restricted stock grant made pursuant to the 2011 Long-Term Incentive Plan vesting on February 25, 2014. |
(3) | Options exercisable in one-third increments on each of February 25, 2012, February 25, 2013 and February 25, 2014. |
(4) | This is a payout of Short Term Incentive Plan Annual Bonus Deferred Stock Units granted Febraury 29, 2008, and are governed under the 2007 Stock Incentive Plan. Units were granted at a rate of $1.20 for each dollar of bonus earned. The units are converted on a one-for-one basis and are to be settled in 100% Tennant Common Stock. The units themselves (2,779) vested at the time of the grant; the 20% premium (556 units) vested on March 1, 2011 and dividends were converted into additional Deferred Stock Units (215). |