Statement of Changes in Beneficial Ownership (4)
December 04 2014 - 4:57PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
PETTY R WILLIAM
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2. Issuer Name
and
Ticker or Trading Symbol
EXACTECH INC
[
EXAC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Executive Chairman
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(Last)
(First)
(Middle)
6717 NW 48TH LANE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/2/2014
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(Street)
GAINESVILLE 32653
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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12/2/2014
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G
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V
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7500
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D
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$0.00
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3146338
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I
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by Partnership
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Common Stock
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99400
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D
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Common Stock
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70400
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I
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by Spouse
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Non-Qualified Stock Option (right to buy)
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$13.40
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11/30/2005
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5/31/2015
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Common Stock
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20000
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15000
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D
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Non-Qualified Stock Option (right to buy)
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$14.27
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12/18/2011
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12/18/2016
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Common Stock
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5000
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5000
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D
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Non-Qualified Option (right to buy)
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$17.02
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2/16/2013
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2/16/2016
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Common Stock
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68000
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68000
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D
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Non-Qualified Option (right to buy)
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$18.10
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2/22/2012
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2/22/2016
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Common Stock
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65421
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65421
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D
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Non-Qualified Option (right to buy)
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$18.95
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2/28/2014
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2/28/2017
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Common Stock
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17200
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17200
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D
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Non-Qualified Option (right to buy)
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$16.33
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2/22/2017
(2)
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2/22/2019
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Common Stock
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75000
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75000
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D
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Non-Qualified Option (right to buy)
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$18.55
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2/25/2018
(4)
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2/25/2020
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Common Stock
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75000
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75000
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D
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Non-Qualified Option (right to buy)
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$20.90
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5/9/2019
(6)
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5/9/2021
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Common Stock
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55217
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55217
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D
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Non-Qualified Stock Option (right to buy)
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$14.12
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11/30/2005
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5/9/2015
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Common Stock
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30000
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22500
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I
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by Spouse
(1)
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Non-Qualified Stock Option (right to buy)
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$14.27
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12/18/2011
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12/18/2016
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Common Stock
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5000
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5000
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I
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by Spouse
(1)
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Non-Qualified Option (right to buy)
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$17.02
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2/16/2013
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2/16/2016
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Common Stock
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11000
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11000
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I
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by Spouse
(1)
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Non-Qualified Option (right to buy)
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$18.95
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2/28/2014
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2/28/2017
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Common Stock
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2800
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2800
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I
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by Spouse
(1)
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Non-Qualified Option (right to buy)
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$16.33
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2/22/2017
(3)
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2/22/2019
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Common Stock
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11900
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11900
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I
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by Spouse
(1)
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Non-Qualified Option (right to buy)
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$18.55
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2/25/2018
(5)
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2/25/2020
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Common Stock
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3000
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3000
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I
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By Spouse
(1)
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Non-Qualified Option (right to buy)
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$20.90
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5/9/2019
(7)
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5/9/2021
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Common Stock
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8000
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8000
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I
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By Spouse
(1)
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Explanation of Responses:
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(
1)
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Such options were granted to Dr. Petty's spouse, Betty A. Petty, Vice President, Administration and Facilities, of the Issuer.
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(
2)
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Such options are currently exercisable as regards 30,000 of the covered shares. The remaining shares are exercisable, as regards 15,000 of the covered shares, on the third anniversary of the date of grant, as regards 15,000 of the covered shares on the fourth anniversary of the date of grant, and as regards 15,000 of the covered shares, on the fifth anniversary of the date of grant.
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(
3)
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Such options are currently exercisable as regards 4,760 of the covered shares. The remaining shares are exercisable, as regards 2,380 of the covered shares, on the third anniversary of the date of grant, as regards 2,380 of the covered shares on the fourth anniversary of the date of grant, and as regards 2,380 of the covered shares, on the fifth anniversary of the date of grant.
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(
4)
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Such options are currently exercisable as regards 15,000 of the covered shares. The remaining shares are exercisable, as regards 15,000 of the covered shares, on the second anniversary of the date of grant, as regards 15,000 of the covered shares, on the third anniversary of the date of grant, as regards 15,000 of the covered shares on the fourth anniversary of the date of grant, and as regards 15,000 of the covered shares, on the fifth anniversary of the date of grant.
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(
5)
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Such options are currently exercisable as regards 600 of the covered shares. The remaining shares are exercisable, as regards 600 of the covered shares, on the second anniversary of the date of grant, as regards 600 of the covered shares, on the third anniversary of the date of grant, as regards 600 of the covered shares on the fourth anniversary of the date of grant, and as regards 600 of the covered shares, on the fifth anniversary of the date of grant.
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(
6)
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Such options are exercisable as regards 11,043 of the covered shares, on the first anniversary of the date of grant, as regards 11,043 of the covered shares, on the second anniversary of the date of grant, as regards 11,043 of the covered shares, on the third anniversary of the date of grant, as regards 11,044 of the covered shares on the fourth anniversary of the date of grant, and as regards 11,044 of the covered shares, on the fifth anniversary of the date of grant.
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(
7)
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Such options are exercisable as regards 1,600 of the covered shares, on the first anniversary of the date of grant, as regards 1,600 of the covered shares, on the second anniversary of the date of grant, as regards 1,600 of the covered shares, on the third anniversary of the date of grant, as regards 1,600 of the covered shares on the fourth anniversary of the date of grant, and as regards 1,600 of the covered shares, on the fifth anniversary of the date of grant.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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PETTY R WILLIAM
6717 NW 48TH LANE
GAINESVILLE 32653
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X
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X
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Executive Chairman
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Signatures
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/s/ William Petty
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12/4/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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