UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | Â (1) | Â (1) | Common Stock | 20,000 | $ (1) | D | Â |
Stock Option (right to buy) | Â (2) | 11/04/2014 | Common Stock | 9,583 | $ 10.44 | D | Â |
Stock Option (right to buy) | Â (2) | 01/01/2016 | Common Stock | 8,625 | $ 10.44 | D | Â |
Stock Option (right to buy) | Â (3) | 01/25/2017 | Common Stock | 803 | $ 13.04 | D | Â |
Stock Option (right to buy) | Â (2) | 01/25/2017 | Common Stock | 5,091 | $ 13.04 | D | Â |
Common Stock Warrant (right to buy) | 04/28/2006 | 04/28/2016 | Common Stock | 302 | $ 13.04 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Gunter Michael S 104 CAMBRIDGE PLAZA DRIVE WINSTON-SALEM, NC 27104 |
 |  |  Sr. Vice President Operations |  |
/s/ Patrick J. Rogers by power of attorney for Michael S. Gunter | 11/04/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | The Series A Convertible Preferred Stock is convertible, at any time at the holders election, into the Issuer's common stock at a ratio of approximately 1:0.0958 and has no expiration date. |
(2) | All of these shares are fully vested and exercisable. |
(3) | 602 of these options are vested and exercisable. The remaining 201 options will vest on January 25, 2011 or upon the consummation of an initial public offering. |