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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 | ||||||||
Series D Convertible Preferred Stock (7) | (6) | 02/14/2005 | C | 3,353,745 | 02/14/2005 | (8) | Common Shares | 406,508 | (6) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Gehring Mark A 1200 CORPORATE DRIVE SUITE 200 BIRMINGHAM, AL 35242 |
Chief Technology Officer |
/s/ Pamela B. Fetterolf, Attorney-in-Fact for Mark A. Gehring | 02/16/2005 | |
**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) | Gift to mother who does not share reporting person's household. The reporting person disclaims beneficial ownership of the shares held by mother, and this report should not be deemed an admission that the reporting person is the beneficial owner of his mother's shares for purposes of Section 16 or for any other purpose. |
(2) | Reporting person disposed of these shares by gift for no consideration. |
(3) | Gift to father who does not share reporting person's household. The reporting person disclaims beneficial ownership of the shares held by father, and this report should not be deemed an admission that the reporting person is the beneficial owner of his father's shares for purposes of Section 16 or for any other purpose. |
(4) | Gift held in trust for benefit of son who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by such trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of the shares held in the trust for the benefit of his son for purposes of Section 16 or for any other purpose. |
(5) | Gift held in trust for benefit of dauther who does not share reporting person's household. The reporting person disclaims beneficial ownership of the shares held by such trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of the shares held in the trust for the benefit of his daughter for purposes of Section 16 or for any other purpose. |
(6) | Reflects 1-for-8.25013 conversion to common stock which became effective on February 14, 2005 upon the close of Issuer's initial public offering of Its Common Stock. |
(7) | These preferred shares were incorrectly reported in Table I in the Reporting Person's initial Form 3 filed on February 8, 2005. |
(8) | None |