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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Phantom Stock | Â | Â | Â | Â | Â | Â | Â (3) | Â (3) | Common Stock | Â | 11,130.181 | Â | ||
Stock Options (Right to buy) | $ 15.75 | Â | Â | Â | Â | Â | Â (4) | 01/17/2011 | Common Stock | Â | 360 | Â | ||
Stock Options (Right to buy) | $ 17.37 | Â | Â | Â | Â | Â | Â (5) | 01/16/2012 | Common Stock | Â | 1,400 | Â | ||
Stock Options (Right to buy) | $ 18.81 | Â | Â | Â | Â | Â | Â (6) | 01/22/2013 | Common Stock | Â | 3,334 | Â | ||
Stock Options (Right to buy) | $ 20.02 | Â | Â | Â | Â | Â | Â (7) | 01/21/2014 | Common Stock | Â | 1,800 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JONES WALTER H JR 10200 DAVID TAYLOR DRIVE CHARLOTTE, NC 28262-2373 |
 X |  |  |  |
Jan H. Hollar | 02/14/2005 | |
**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). |
(7) | Options are exercisable in 5 yearly installments beginning one year after grant date. |
(3) | Non-Employee directors may withdraw common stock from the deferred comp plan the first day of the calendar month following retirement, death, or termination. |
(4) | 1,440 options are currently exercisable. Remaining 360 options exercisable on 01/17/2005 |
(5) | 2,100 options are currently exercisable. The remaining 1,400 options are exercisable in equal installments on 01/16/2005 and 01/16/2006 |
(1) | Shares transfered from Direct to Indirect |
(6) | 1,666 options are currently exercisable. The remaining 3,334 options are exercisable in equal installments on 01/22/2005 and 01/22/2006 |
(2) | One for One |