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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 | |
TRBOVICH NICHOLAS D DR 1110 MAPLE STREET, P.O. BOX 300 ELMA, NY 14059-0300 |
X | X | Chairman and CEO |
Nicholas D. Trbovich | 01/06/2013 | |
**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) | On January 1, 2014, 15,000 restricted shares vested and the Reporting Person instructed the Company to withhold 6,306 shares to cover tax withholding obligations as permitted under the Company's 2012 Long-Term Incentive Plan. |
(2) | As of the date hereof, the Reporting Person's direct beneficial ownership includes 45,000 restricted shares granted under the Company's 2012 Long-Term Incentive Plan that have not yet vested. |
(3) | 1,845 shares were distributed to the Reporting Person from his account under the Company's Employee Stock Ownership Trust (the "ESOT") since the Reporting Person's last Section 16 report. |
(4) | As of the date hereof, includes shares allocated to the ESOT accounts of Kenneth Trbovich, Michael Trbovich and Nicholas Trbovich, Jr., children of the Reporting Person, that the Reporting Person is required to report pursuant to Rule 16a-8(b)(2). The Reporting Person disclaims beneficial interest in the the shares allocated to his children's ESOT accounts. |