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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MARTIRE FRANK R 601 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 |
 X |  |  Chairman and CEO |  |
/s/ Michael P. Oates, attorney-in-fact | 02/04/2013 | |
**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 Dec. 17, 2010 the reporting person filed a Form 4 that reported a Gift of 24,599 shares from the 2009 GRAT (by Trust) account incorrectly. This Form 5 is to amend the original filing and correctly reflect the Gift from Common Stock. |
(2) | This amount reflects all the transactions described in this filing and corrects the balance. |
(3) | On March 29, 2012 - 719 shares were transferred from his indirect IRA account into his personal brokerage account. |
(4) | On Jan. 7, 2011 a distribution of 7,931 shares were transferred from his 2009 GRAT (by Trust) into his personal brokerage account. On Dec. 20, 2011 a distribution of 10,308 shares were transferred from his 2009 GRAT (by Trust) into his personal brokerage account. On Jan. 8, 2013 a distribution of 8,485 shares were transferred from his 2009 GRAT (by Trust) into his personal brokerage account per the terms of the GRAT. |