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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 | |
RICKETTS J PETER 4211 SOUTH 102ND STREET OMAHA, NE 68127 |
X |
/s/ J. Peter Ricketts | 12/09/2011 | |
**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) | Transfer of shares, for no consideration, to Mr. Ricketts from an annuity trust for which Mr. Ricketts is the grantor and a beneficiary. |
(2) | Transfer of shares, for no consideration, to a trust created for Mr. Ricketts' children from an annuity trust for which Mr. Ricketts is the grantor and a beneficiary. |
(3) | Shares are held by trusts created for Mr. Ricketts' children. |
(4) | Shares are held by annuity trusts, for which Mr. Ricketts is the grantor and a beneficiary. |
(5) | Transfer of shares, for no consideration, as a charitable donation. |
Remarks: The original Form 4 filed on October 28, 2011 (the "Original Form 4") erroneously reported the transfer of 600 shares of common stock, for no consideration, to trusts created for Mr. Ricketts' children from Mr. Ricketts. This amendment to the Original Form 4 reports the correct transfer on October 28, 2011 from Mr. Ricketts of 600 shares of common stock, for no consideration, as a charitable donation, and not to the trusts. The number of securities beneficially owned indirectly by Mr. Ricketts with respect to such trusts in Form 4s filed after the Original Form 4, but prior to this Form 4, should similarly be 105,293. |