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 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CONGDON JEFFREY W 7511 WHITEPINE ROAD RICHMOND, VA 23237 |
X | Member of Section 13(d) group | ||
TERRY SUSAN C 7511 WHITEPINE ROAD RICHMOND, VA 23237 |
X | Member of Section 13(d) group |
/s/ John R. Congdon, Jr., by Power of Attorney | 10/09/2012 | |
**Signature of Reporting Person | Date | |
/s/ John R. Congdon, Jr., by Power of Attorney | 10/09/2012 | |
**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) | This Form 3/A is being filed to correct the number of shares held by the Susan C. Terry Revocable Trust. The number of shares reported on the original Form 3 was incorrect due to a clerical error. This Form 3/A also is being filed to adjust the number of shares held by the Susan C. Terry Revocable Trust to reflect the actual number of shares distributed to the Susan C. Terry Revocable Trust as a result of the stock dividend announced by the Issuer on August 13, 2012. The original Form 3 was based on a good faith estimate of the number of shares to be distributed. Except as described in Note 3 below, the other holdings listed on the original Form 3 remain unchanged. |
(2) | These securities are beneficially owned by Susan C. Terry, who may be deemed a member of a "group" for purposes of Section 13(d) of the Exchange Act. The other members of the Section 13(d) group are identified in a Schedule 13D filed with the Securities and Exchange Commission on September 10, 2012. |
(3) | This Form 3/A also is being filed to adjust the number of shares held by the Jeffrey W. Congdon Revocable Trust to reflect the actual number of shares distributed to the Jeffrey W. Congdon Revocable Trust as a result of the stock dividend announced by the Issuer on August 13, 2012. The original Form 3 was based on a good faith estitmate of the number of shares to be distributed. |
(4) | These securities are beneficially owned by Jeffrey W. Congdon, who may be deemed a member of a "group" for purposes of Section 13(d) of the Exchange Act. The other members of the Section 13(d) group are identified in a Schedule 13D filed with the Securities and Exchange Commission on September 10, 2012. |