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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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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 1474 (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 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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JOHNSON LEIPOLD HELEN P C/OJ/K MANAGEMENT SERVICES INC 555 MAIN STREET RACINE, WI 53403-1015 |
X | X | Chairman of the Board & CEO |
Helen Johnson-Leipold | 07/06/2005 | |
**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) | The reporting person is deemed to indirectly own 589,988 shares as settler and beneficiary of the Helen Johnson-Leipold Third Party Gift and Inheritance Trust (the "Gift Trust"). The reporting person disclaims beneficial ownership in the shares held by the Gift Trust except to the extent of her pecuniary interest therein. |
(2) | The reporting person is deemed to indirectly own 100,000 shares as controlling shareholder of Johnson Financial Group ("JFG"), the parent corporation of the trustee of the trust which beneficially owns such reported shares. The reporting person disclaims beneficial ownership in the shares held by JFG except to the extent of her pecuniary interest therein. |
(3) | The reporting person is deemed to indirectly own 114,464 shares as trustee of the Samuel C. Johnson Family Trust (the "Family Trust"), which beneficially owns such reported shares as the controlling shareholder of a corporation. The reporting person disclaims beneficial ownership in the shares held by the Family Trust except to the extent of her pecuniary interest therein. |
(4) | The reporting person is deemed to indirectly own 488,367 shares as (a) controlling shareholder of the parent corporation of Johnson Bank, the trustee of certain trusts which directly, or indirectly as shareholders of certain corporations and as general partners of certain limited partnerships, beneficially own such reported shares, (b) a shareholder of a corporation and a general partner of a limited partnership, which indirectly owns such reported shares or (c) settler and beneficiary of the Helen Johnson-Leipold Revocable Trust which beneficially owns such reported shares directly, or indirectly as a shareholder of certain corporations and as the general partner of certain limited partnerships (collectively, the "Controlling Entities"). The reporting person disclaims beneficial ownership in the shares held by the Controlling Entities except to the extent of her pecuniary interest therein. |
(5) | The reporting person owns indirectly 4,129 shares of the Class A Common Stock held by the Johnson Outdoors 401(k) Retirement and Savings Plan over which the reporting person has sole voting power. |