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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 | ||||||||
Director Stock Options | $ 55.68 | 05/12/2011 | A | 2,843 | 05/12/2012 | 05/12/2021 | Common Stock | 2,843 | $ 0 | 2,843 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SICA FRANK V N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS, WI 53051-5660 |
X |
Richard D. Schepp (pursuant to Power of Attorney previously filed) | 05/16/2011 | |
**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) | Award of restricted stock under the Company's 2010 Long-Term Compensation Plan. The restricted shares vest in full on the first anniversary of the Grant Date. |
(2) | Includes 898 unvested shares of restricted stock. |
(3) | This amount represents 14,628 shares held for the account of the Reporting Person's spouse and 5,000 shares held by a trust for the Reporting Person's children for which Reporting Person's spouse serves as a trustee. The filing of this report shall not be deemed an admission that Mr. Sica is the beneficial owner of these shares for purposes of Section 16 of the Exchange Act of 1934. |
(4) | The filing of this report shall not be deemed an admission that Mr. Sica is the beneficial owner of these shares for purposes of Section 16 of the Exchange Act of 1934. |