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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 | ||||||||
Non-Qualified Stock Options | $ 12 | 12/07/2010 | 12/07/2010 | M | 2,955 | 11/27/2007(2) | 11/27/2012 | Common Stock | 2,955 | $ 0 | 1,473 | D | |||
Non-Qualified Stock Options | $ 12 | 12/08/2010 | 12/08/2010 | M | 1,473 | 11/27/2007(2) | 11/27/2012 | Common Stock | 1,473 | $ 0 | 0 | D | |||
Non-Qualified Stock Options | $ 13.03 | 12/08/2010 | 12/08/2010 | M | 327 | 03/31/2006(3) | 03/31/2013 | Common Stock | 327 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KRUPA DAVID E 20 CUSTOM HOUSE STREET BOSTON, MA 02110 |
VP - Claims Operations |
/s/David E. Krupa | 12/09/2010 | |
**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) | Represents the weighted average sales price of multiple open market same day sales with prices ranging from $47.50 to $47.99 per share. Full information regarding the number of shares sold at each separate price will be provided to the Securities and Exchange Commission, the issuer, or a security holder upon request. |
(2) | The reporting person was granted options to purchase 22,140 shares on November 27, 2002. These options vested in five equal 20% annual installments beginning November 27, 2003. Options have been previously exercised and reported with respect to 17,712 shares. |
(3) | The reporting person was granted options to purchase 3,270 shares of common stock on March 31, 2003. These options vested in three annual installments of 30% on March 31, 2004, 30% on March 31, 2005 and the remaining 40% on March 31, 2006. Options from this grant have been previously exercised and reported with respect to 2,943 shares. |