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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 | ||||||||
Forward Contract (right/obligation to sell) | (1) (2) (3) | 08/23/2005 | J | 9,928 (1) (2) (3) | 08/23/2010 | 08/23/2010 | Common Stock | 9,928 | (1) (2) (3) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GREENE CHARLES SCOTT 2801 EAST BELTLINE, N.E. GRAND RAPIDS, MI 49525 |
President, UFP Eastern Div. |
/s/ Matthew J. Missad, as Attorney in Fact for C. Scott Greene | 08/24/2005 | |
**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 August 23, 2005, Charles Scott Greene entered into a pre-paid variable forward sale contract ("Contract") with Bear Stearns & Co., Inc. ("Bear"). Pursuant to the Contract, Mr. Greene has pledged 9,928 shares of Common Stock of Universal Forest Products, Inc. to secure his obligation to deliver a maximum of 9,928 shares of Common Stock on August 23, 2010 (the "Settlement Date"). The 9,928 shares represent approximately 10% of the combined number of shares of Common Stock of the Company currently owned and subject to options held by Mr. Greene. Prior to the Settlement Date, Mr. Greene retains voting control over the 9,928 shares subject to the Contract. In exchange for his agreement, Mr. Greene will receive on or about August 26, 2005 approximately $383,583.00 representing approximately 79% of the value of 9,928 shares of Common Stock on August 23, 2005. |
(2) | Mr. Greene may settle this Contract by a cash payment to Bear or by the delivery of shares in August 2010. The actual cash amount or number of shares that Mr. Greene is obligated to deliver in 2010 varies based on the price of the Common Stock on the Settlement Date (the "Settlement Price"). *If the Settlement Price is at or about $73.50 per share (the "Ceiling Price"), Mr. Greene is obligated to deliver a number of shares equal to the product of (a) 9,928 and (b) the ratio that is obtained by dividing the sum (x) $49.00 per share (the "Floor Price") and (y) the difference between the Settlement Price and the Ceiling Price, by the Settlement Price; and |
(3) | If the Settlement Price is between the Floor Price and the Ceiling Price, Mr. Greene is obligated to deliver a number of shares equal to the product of (a) 9,928 and (b) the ratio that is obtained by dividing the Floor Price by the Settlement Price; and *If the Settlement Price is at or below the Floor Price, Mr. Greene is obligated to deliver 9,928 shares. The number of shares of Common Stock to be delivered to Mr. Greene is subject to adjustment in the case of certain antidulutive and extraordinary events and the payment of increased dividends by the Company on the Common Stock. |