1.
Title of Derivative Security
(Instr. 3) |
2.
Conversion or Exercise Price of Derivative Security |
3.
Transaction Date (MM/DD/YYYY) |
3A.
Deemed Execution Date, if any (MM/DD/YYYY) |
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 |
7.
Title and Amount of Securities Underlying Derivative Security
(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) |