FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/09/2011 |
3. Issuer Name and Ticker or Trading Symbol
EXACTECH INC [ EXAC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2,360 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Incentive Stock Option (right to buy) | 11/30/2005 | 05/02/2013 | Common Stock | 5,000 | $14.46 | D | |
Incentive Stock Option (right to buy) | 11/30/2005 | 05/17/2014 | Common Stock | 2,000 | $18.6 | D | |
Incentive Stock Option (right to buy) | 11/30/2005 | 05/09/2015 | Common Stock | 5,000 | $14.12 | D | |
Incentive Stock Option (right to buy) | 12/18/2011(1) | 12/18/2016 | Common Stock | 8,000 | $14.27 | D | |
Incentive/Non-Qualified Stock Option (right to buy) | 11/29/2010 | 11/29/2012 | Common Stock | 15,000 | $19.93 | D | |
Non-Qualified Stock Option (right to buy) | 02/18/2012(2) | 02/18/2015 | Common Stock | 5,000 | $12.68 | D | |
Incentive Stock Option (right to buy) | 02/16/2013(3) | 02/16/2016 | Common Stock | 10,000 | $17.02 | D | |
Incentive Stock Option (right to buy) | 02/28/2014(4) | 02/28/2017 | Common Stock | 1,700 | $18.95 | D |
Explanation of Responses: |
1. Such options are currently exercisable as regards 6,400 of the covered shares. The remaining options are exercisable, as regards 1,600 of the covered shares, on the fifth anniversary of the date of grant. |
2. Such options are currently exercisable as regards 3,334 of the covered shares. The remaining options are exercisable, as regards 1,666 of the covered shares, on the third anniversary of the date of grant. |
3. Such options are currently exercisable as regards 3,333 of the covered shares. The remaining options are exercisable, as regards 3,333 of the covered shares, on the second anniversary of the date of grant, and as regards 3,334 of the covered shares, on the third anniversary of the date of grant. |
4. Such options are exercisable, as regards 566 of the covered shares, on the first anniversary of the date of grant, as regards 567 of the covered shares, on the second anniversary of the date of grant, and as regards 567 of the covered shares, on the third anniversary of the date of grant. |
Remarks: |
Ms. Edwards was elected to the office of Chief Compliance Officer by the Issuer's Board of Directors at its meeting on June 9, 2011. |
/s/ Donna M. Edwards | 06/14/2011 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |