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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LOEWENBAUM G WALTER II 333 THREE D SYSTEMS CIRCLE ROCK HILL, SC 29730 |
X |
/s/ Andrew M. Johnson, Attorney-in-Fact | 12/14/2016 | |
**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 November 29, 2016, for estate planning purposes the Reporting Person's spouse exchanged 144,530 shares of the Issuer's common stock to an independent trust for the benefit of her descendants for a number of shares of another issuer with an equal market value determined based on the opening price of both issuers' common stock on the day of the share exchange. No cash was exchanged in connection with the transaction. |
(2) | The Reporting Person disclaims beneficial ownership of these securities except to the extent of any pecuniary interest therein. |
(3) | Includes 44,967 shares previously held through Lillian Shaw Loewenbaum TTEE the LSLDDD 2014 Annuity Trust U/A Dtd 4/14/2014 and 27,495 shares previously held through Lillian Shaw Loewenbaum TTEE The LSL3D 2015 Annuity Trust U/A Dtd 5/18/2015, all of which were transferred to the Reporting Person's spouse on May 26, 2016. It also includes 38,297 shares previously held through Lillian Shaw Loewenbaum TTEE the LSL3DS 2014 Annuity Trust U/A Dtd 11/13/2014 which were transferred to the Reporting Person's spouse on June 15, 2016. These transfers did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(4) | Mr. and Mrs. Loewenbaum serve as Trustees. |
(5) | Includes 18,328 shares previously held through George Walter Loewenbaum TTEE the GWLDDD 2014 Annuity Trust U/A Dtd 4/14/2014, 40,804 shares previously held through George Walter Loewenbaum TTEE The GWL3D 2015 Annuity Trust U/A Dtd 5/18/2015 and 50,000 shares previously held through George Walter Loewenbaum TTEE the GWL3DS 2014 Annuity Trust U/A Dtd 11/13/2014, all of which were transferred to his direct holdings on May 26, 2016. This did not change the Reporting Person's total beneficial ownership as of the transaction date. Excludes 68,950 shares previously held through his direct holdings in which 34,475 shares were transferred to Elizabeth Scott Loewenbaum 2010 Trust and 34,475 shares were transferred to Anna Loewenbaum Hargrove 2010 Trust on August 12, 2016. These transfers did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(6) | Mr. Loewenbaum serves as Trustee. |
(7) | Mr. and Mrs. Loewenbaum are the general partners. |
(8) | The limited liability company is owned 100% by Mr. Loewenbaum. |
(9) | Includes 34,475 shares previously held through Mr. Loewenbaum's direct holdings which were transferred to Elizabeth Scott Loewenbaum 2010 Trust on August 12, 2016. This transfer did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(10) | Includes 34,475 shares previously held through Mr. Loewenbaum's direct holdings which were transferred to Anna Loewenbaum Hargrove 2010 Trust on August 12, 2016. This transfer did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(11) | Excludes 38,297 shares previously held through Lillian Shaw Loewenbaum TTEE the LSL3DS 2014 Annuity Trust U/A Dtd 11/13/2014 which were transferred to Lillian Shaw Loewenbaum, the Reporting Person's spouse on June 15, 2016. This transfer did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(12) | Mrs. Loewenbaum serves as trustee. |
(13) | Excludes 40,804 shares previously held through George Walter Loewenbaum TTEE The GWL3D 2015 Annuity Trust U/A Dtd 5/18/2015 2014 which were transferred to his direct holdings on May 26, 2016. This transfer did not change the Reporting Person's total beneficial ownership as of the transaction date. |
(14) | Excludes 27,495 shares previously held through Lillian Shaw Loewenbaum TTEE The LSL3D 2015 Annuity Trust U/A Dtd 5/18/2015 which were transferred to Lillian Shaw Loewenbaum, the Reporting Person's spouse on May 26, 2016. This transfer did not change the Reporting Person's total beneficial ownership as of the transaction date. |