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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 | ||||||||
Non-Qualified Stock Option (right to buy) (1) | $ 35.4 (1) | 07/27/2005(1) | M(1) | 1,000 (1) | 02/06/2002 | 02/05/2011 | Common Stock | 1,000 (1) | $ 0 | 15,500 (1) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DERHOFER GEORGE N 105 CORPORATE CENTER BOULEVARD GREENSBORO, NC 27408 |
Vice President |
Mark R. Townsend for George N. Derhofer (Pursuant to Signing Authority on File) | 08/22/2005 | |
**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). |
(1) | This line item is not new or revised, but is being reported again solely to gain access to the system. On July 28, 2005, the reporting person mistakenly reported that he had exercised 1,000 shares of a stock option grant and sold those shares on the open market for $59.56 per share, leaving him with 11,000 shares of this particular stock option (exercise price: $35.40, date exercisable: February 6, 2002, expiration date: February 5, 2011), when in fact as of July 28,2005, he had 12,000 remaining. On August 19, the reporting person filed a Form 4 reporting the cashless exercise of the remaining 12,000 shares of this particular stock option, and he attempted to amend the July 28 Form 4 by filing a corrected version of the form that deleted the transaction that had not occurred and included a footnote explaining that this form was an amendment. This filing amends the July 28, 2005 Form 4 and the August 19, 2005 purported amendment to that Form 4. |