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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Options - NQ | $ 6.87 | 12/11/1998 | 12/11/2007 | Common Stock | 2,000 | |||||||||
Stock Options - NQ | $ 6.25 | (8) | 12/10/2008 | Common Stock | 4,800 | |||||||||
Stock Options - ISO | $ 4.65 | (10) | 06/08/2011 | Common Stock | 12,000 | |||||||||
Stock Options - ISO | $ 6.44 | (12) | 06/12/2012 | Common Stock | 18,000 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SCHRICK RANDY M 1300 MAIN STREET P.O. BOX 130 ATCHISON, KS 66002 |
Vice President |
Randy M. Schrick | 08/12/2005 | |
**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) | Includes 900 shares acquired on from the reporting person's ESPP account in a transaction exempt under 16b-3(c). |
(2) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 213 additional shares. |
(3) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 876 additional shares. |
(4) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 213 additional shares. |
(5) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 18,606.897 additional shares in his ESOP-Atchison account, and 6,596 additional shares in his ESOP-Pekin account; and the two separate ESOP accounts were combined into one single account. Total also includes 1,123.09 shares acquired between the period of 7/1/2004 and 6/30/2005 under ESOP in a transaction exempt under 16b-3(c). |
(6) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 491.5135 additional shares; a transfer of 900 shares from the reporting person's ESPP account to his directly held account and includes 243.067 shares acquired between the period of 7/1/2004 and 6/30/2005 under ESPP, both in transactions exempt under 16b-3(c). |
(7) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 1,000 additional shares of stock options. |
(8) | 4,000 shares vested on 12/10/1999; 800 shares vested on 12/10/2000 |
(9) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 2,400 additional shares of stock options. |
(10) | 6000 shares vested on 6/8/2004 and 6/8/2005 |
(11) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 6,000 additional shares of stock options. |
(12) | 6,000 shares vest on each of the following dates: 6/12/2004; 6/12/2005; 6/12/2006 |
(13) | On July 16, 2004, the common stock of MGP Ingredients, Inc. split 2-for-1 resulting in the reporting person's acquisition of 9,000 additional shares of stock options. |