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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 | |
Springer Jackie D. Jr. 5075 KIMBERLY WAY LOUDON, TN 37774 |
X | Chief Executive Officer |
JACK D. SPRINGER, /s/ Wayne Wilson as attorney in fact | 11/07/2016 | |
**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 reporting person was issued an equity award of 20,250 shares of restricted stock on November 4, 2016 in consideration of services performed for the Issuer in fiscal 2016. |
(2) | The shares of restricted stock will vest in four substantially equal annual installments beginning November 4, 2017. |
(3) | Includes 6,781 shares of restricted stock vesting in two substantially equal annual installments beginning on November 6, 2017 and 16,951 shares of restricted stock vesting in three substantially equal annual installments beginning November 6, 2017. |
(4) | The shares of the Issuer's Class A Common Stock were withheld for tax withholding purposes in connection with the vesting of 3,390 shares under a restricted stock award granted on November 6, 2015. |
(5) | The shares of the Issuer's Class A Common Stock were withheld for tax withholding purposes in connection with the vesting of 5,650 shares under a restricted stock award granted on November 6, 2015. |