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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Reed Kenneth M 328 ADAMS STREET MILTON, MA 02186 |
X | |||
REED SUSAN K 328 ADAMS STREET MILTON, MA 02186 |
X |
/s/ KENNETH M. REED | 02/11/2011 | |
**Signature of Reporting Person | Date | |
/s/ SUSAN K. REED | 02/11/2011 | |
**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) | Purchased by The Reed Family Limited Partnership I from the issuer. |
(2) | Represents 99.9% of the shares held by The Reed Family Limited Partnership I, a Massachusetts limited partnership in which Kenneth M. Reed holds a 49.9% partnership interest (1% as the general partner and 48.9% as a limited partner) and Susan K. Reed holds a 50% partnership interest as a limited partner. Kenneth M. Reed and Susan K. Reed are husband and wife. |
(3) | Transfer from The Reed Family Limited Partnership I to The Susan K. Reed Grantor Retained Annuity Trust II. Susan K. Reed, wife of Kenneth M. Reed, is the annuity recipient and sole trustee of the trust. |
(4) | Transfer from The Susan K. Reed Grantor Retained Annuity Trust II to Susan K. Reed as an asset substitution. |
(5) | Transfer from Susan K. Reed to The Susan K. Reed 2010 Grantor Retained Annuity Trust I. See note (6). |
(6) | Represents shares held in The Susan K. Reed Grantor Retained Annuity Trust I ("Trust"). Susan K. Reed is the annuity recipient and the sole trustee of the Trust. Kenneth M. Reed disclaims beneficial ownership of the shares held by the Trust. |
(7) | Represents the number of shares held in the Kenneth M. Reed, M.D., P.C. Profit Sharing Plan ("Plan") in which Kenneth M. Reed has a pecuniary interest as a plan participant. Kenneth M. Reed is the sole trustee of the Plan. Susan K. Reed disclaims beneficial ownership of the shares held in the Plan. |