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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 | ||||||||
Phantom Stock Unit | (1) | 11/12/2004 | A | 36.8117 | (2) | (2) | Common Stock | 36.8117 | $ 49.7 | 22,704.7968 | D | ||||
Employee Stock Option (Right to buy) | $ 34.75 (3) | 12/14/2001 | 12/14/2010 | Common Stock | 21,392 | 21,392 | D | ||||||||
Employee Stock Option (Right to buy) | $ 34.09 (4) | 12/13/2002 | 12/13/2011 | Common Stock | 31,462 | 31,462 | D | ||||||||
Employee Stock Option (Right to buy) | $ 37.96 (5) | 12/12/2003 | 12/12/2012 | Common Stock | 35,985 | 35,985 | D | ||||||||
Employee Stock Option (Right to buy) | $ 44.73 (6) | 12/10/2004 | 12/10/2013 | Common Stock | 32,032 | 32,032 | D | ||||||||
Performance Rights | $ 0 | 01/01/2005(7) | 06/30/2005 | Common Stock | 4,624 | 4,624 | D | ||||||||
Performance Rights | $ 0 | 01/01/2006(7) | 06/30/2006 | Common Stock | 4,711 | 4,711 | D | ||||||||
Performance Rights | $ 0 | 01/01/2007(7) | 06/30/2007 | Common Stock | 4,318 | 4,318 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MIKULSKY PHILLIP M 700 NORTH ADAMS STREET P. O. BOX 19001 GREEN BAY, WI 543079001 |
Sr VP, Development |
By: Barth J. Wolf (See POA filed August 2002) | 11/15/2004 | |
**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) | These phantom stock units convert to common stock on a one-for-one basis. |
(2) | Unless the participant has selected a later commencement date, distribution of stock and equivalents will commence within 60 days following the end of the calendar year in which occurs the participant's retirement or termination of service. |
(3) | The option vests in four equal annual installments beginning on December 14, 2001. |
(4) | The option vests in four equal annual installments beginning on December 13, 2002. |
(5) | The option vests in four equal annual installments beginning on December 12, 2003. |
(6) | The option vests in four equal annual installments beginning on December 10, 2004. |
(7) | Performance shares vest and are issued three years after the performance shares are awarded and the final number of shares issued is determined based on company performance against an established industry benchmark. |