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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 | |||||||||
Employee Stock Option (NQ) | $ 13.75 | (3) | 12/11/2007 | Common Stock | 0 | |||||||||
Employee Stock Option | $ 13.75 | (4) | 12/11/2007 | Common Stock | 0 | |||||||||
Employee Stock Option | $ 12.50 | (5) | 12/10/2008 | Common Stock | 0 | |||||||||
Employee Stock Option (NQ) | $ 12.50 | (6) | 12/09/2009 | Common Stock | 0 | |||||||||
Employee Stock Option (NQ) | $ 8 | (7) | 12/09/2009 | Common Stock | 0 | |||||||||
Employee Stock Option | $ 8 | (8) | 12/09/2009 | Common Stock | 0 | |||||||||
Employee Stock Option | $ 9.3125 | (9) | 06/08/2011 | Common Stock | 0 | |||||||||
Employee Stock Option (NQ) | $ 9.3125 | (10) | 06/08/2011 | Common Stock | 0 | |||||||||
Employee Stock Option | $ 12.89 | (11) | 06/12/2012 | Common Stock | 0 | |||||||||
Employee Stock Option (NQ) | $ 12.89 | (12) | 06/12/2012 | Common Stock | 0 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SEABERG LAIDACKER M 1300 MAIN STREET ATCHISON, KS 66002 |
X | President/CEO |
Laidacker M. Seaberg | 06/30/2004 | |
**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 484 shares acquired between the period of 7/1/03 - 6/30/04 under ESOP in a transaction exempt under 16b-3(c). |
(2) | Includes 296 shares acquired between the period of 7/1/03 - 6/30/04 under ESPP in a transaction exempt under 16b-3(c). |
(3) | 6,000 shares vested on 12/11/98; 6000 on 12/11/99; 5,500 on 12/11/00 |
(4) | 500 vested on 12/11/00; 6,000 on 12/11/01 |
(5) | 1,300 shares vested on 12/10/01; 6,000 on 12/10/02 |
(6) | 6,000 vested on 12/10/99; 6,000 vested on 12/10/00; 4,700 vested on 12/10/01 |
(7) | 6,000 shares vested on 12/9/00 and 12/9/01; 3,000 shares vested on 12/9/02 and 12/9/03 |
(8) | 3,000 shares vested on 12/9/02; 3,000 shares vested on 12/9/03 |
(9) | 6,000 shares vested on 6/8/04; 6,000 vest on 6/8/05 |
(10) | 6,000 shares vested on 6/8/02; 6,000 shares vested on 6/8/03 |
(11) | 5,896 vested on 6/12/03; 3,423 vested on 6/12/04; 3,423 vest on 6/12/05; 6,000 vest on 6/12/06 |
(12) | 104 shares vested on 6/12/03; 2,577 vested on 6/12/04; 2,577 vest on 6/12/05 |