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, 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. | 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 | ||||
Class A Common Stock | Â (3) | Â (3) | Common Stock | 77,000 | $ (3) | I | by H. & E. Buckingham Limited Partnership |
Class A Common Stock | Â (3) | Â (3) | Common Stock | 23,000 | $ (3) | I | by Robert D. Buckingham Living Trust |
Common Stock Purchase Warrant | 11/23/2009 | 11/22/2011 | Common Stock | 2,156,000 | $ 5.5 (4) | I | by H. & E. Buckingham Limited Partnership |
Common Stock Purchase Warrant | 11/23/2009 | 11/22/2011 | Common Stock | 644,000 | $ 5.5 (4) | I | by Robert D. Buckingham Living Trust |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Buckingham Robert D 5301 S. HIGHWAY 16 SUITE 200 RAPID CITY, SD 57701 |
 X |  X |  |  |
/s/ Robert D. Buckingham | 12/02/2009 | |
**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) | The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. |
(2) | The shares forfeit on November 23, 2014 unless the shares trade at or above $8.00 per share for any sixty consecutive trading day period. |
(3) | Each share of Class A Common Stock automatically converts into 157.3 shares of Common Stock on November 23, 2011. |
(4) | Exercise price may be subject to adjustment under the Common Stock Purchase Warrant. May be exercised on a cashless basis. |