FORM 4 |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION |
OMB APPROVAL |
X Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 |
OMB
Number: 3235-0287 Filed By Romeo & Dye's Instant Form 4 Filer |
1. Name and Address of Reporting Person* Bongard, Mark A. |
2. Issuer Name and
Ticker or Trading Symbol |
6. Relationship of
Reporting Person(s)
|
||
(Last) (First) (Middle) 3500 Lyman Boulevard |
3. I.R.S. Identification
Number
|
4. Statement for Month/Day/Year October 31, 2002 |
||
(Street) Chaska, MN 55318 |
5. If Amendment, Date of Original (Month/Day/Year) November 11, 2002 |
7. Individual
or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person |
||
(City) (State) (Zip) |
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities Acquired
(A) or Disposed of (D) |
5. Amount of |
6. Owner- |
7. Nature of Indirect
|
|||
Code |
V |
Amount |
(A) |
Price |
||||||
No Common Stock Owned(1) |
|
|
|
|
|
|
|
|
|
|
Reminder:
Report on a separate line for each class of securities beneficially owned
directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). 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 |
FORM 4 (continued) |
Table II -
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Derivative
Security |
2. Conver- |
3. Trans- |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4. Trans- |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable |
7. Title and Amount
of Underlying Securities |
8. Price of Derivative
Security |
9. Number of |
10. Owner- |
11. Nature of Indirect
Beneficial Ownership |
||||
Code |
V |
(A) |
(D) |
Date Exer-cisable |
Expira- |
Title |
Amount or Number
of |
||||||||
Stock Option (Right to Buy) | $9.13 |
|
|
|
|
|
|
1/22/11 |
Common Stock |
9,000 |
|
9,000 |
D |
|
|
Stock Option (Right to Buy) | $10.00 |
|
|
|
|
|
|
1/21/12 |
Common Stock |
9,000 |
|
9.000 |
D |
|
Explanation of Responses: (1) The reporting person is Chief Manager of WCB Holdings LLC. The estate of Wayne C. Bongard, the father of the reporting person, holds approximately 48% of the voting interests of WCB Holdings LLC, and the remainder of the voting interests are held by trusts for children and grandchildren of Wayne C. Bongard. The reporting person serves as a trustee for one or more of the trusts. The reporting person disclaims beneficial ownership of the shares held by WCB Holdings LLC. |
By: /s/ Lori Cameron Attorney-in-Fact for Mark A. Bongard **Signature of Reporting Person |
November 14, 2002 Date |
**Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. Note: File three
copies of this Form, one of which must be manually signed. 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 Number.
|