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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 | ||||||||
Stock Option | $ 3 | 06/01/2004 | M | 1,500 (2) | 09/21/1998(1) | 09/21/2008 | Common Stock, par value $.001 | 1,500 (2) | $ 0 | 1,000 (2) | D | ||||
Stock Option | $ 4.1875 | 06/01/2004 | M | 20,000 (2) | 04/08/1999(1) | 04/08/2009 | Common Stock, par value $.001 | 20,000 (2) | $ 0 | 17,500 (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MCDONNELL KIRK 211 COMMERCE STREET SUITE 800 NASHVILLE, TN 37201 |
EVP-Human Resources |
/s/ Kirk D. McConnell | 11/08/2004 | |
**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) | 34% of these options are exercisable on the grant date, and 33% are exercisable on each of the 1st and 2nd anniversaries of the grant date. |
(2) | On June 3, 2004, a Form 4 was mistakenly filed reporting the exercise of 3,500 options granted on 9/21/1998 with an exercise price of $3.00 and 19,000 options granted on 4/8/1999 with an exercise price of $4.1875 when in fact the exercise consisted of 2,500 options granted on 9/21/1998 with an exercise price of $3.00 and 20,000 options granted on 4/8/1999 with an exercise price of $4.1875. Therefore, as of June 1, 2004, the reporting person held 1,000 options granted on 9/21/1998 with an exercise price of $3.00 and 17,500 options granted on 4/8/1999 with an exercise price of $4.1875. Pursuant to the instructions to this Form 4, only the amended lines are included in this filing. |