1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Stock Option (Right to Buy)
|
09/30/2003 |
08/16/2007(3)
|
Common Stock
|
39,000
|
$
1
|
I
|
Held by the Estate of Edwin H. Wegman
|
Stock Option (Right to Buy)
|
01/23/2006 |
08/16/2007(3)
|
Common Stock
|
100,000
|
$
1.1
|
I
|
Held by the Estate of Edwin H. Wegman
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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 is an executor and beneficiary of the Estate of Edwin H. Wegman and, as such, beneficially owns
2,048,442 shares of the Issuers stock which consists of 1,843,327 shares of the Issuer held by The S.J. Wegman Company for
the benefit of the Estate of Edwin H. Wegman, and 205,115 shares of the Issuer which are held directly by the Estate of
Edwin H. Wegman. |
(2) |
1,843,327 shares in the Estate of Edwin H. Wegman is held in the name of The S. J. Wegman Company and are pledged to the
Issuer with voting and dispositive power granted to the board of directors of the Issuer. |
(3) |
Under the Issuer's 2001 Employee Stock Option Plan, the Estate of Edwin H. Wegman must exercise all options by midnight
August 16, 2007 because all options expire 6 months from the death of the option holder. |