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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 | ||||||||
Class B Common Stock | (1) | 01/04/2005 | J(2) | V | 25,431 | (3) | (3) | Class A Common Stock | 25,431 | (3) | 12,260,731 | I | See footnote. (4) | ||
Class B Common Stock | (1) | (5) | (5) | Class A Common Stock | 62,322 | 62,322 | I | See footnote. (6) | |||||||
Class B Common Stock | (1) | (5) | (5) | Class A Common Stock | 1,685,312 | 1,685,312 | I | See footnote. (7) | |||||||
Class B Common Stock | (1) | (5) | (5) | Class A Common Stock | 341,736 | 341,736 | I | See footnote. (8) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BEASLEY GEORGE G 3033 RIVIERA DRIVE, SUITE 200 NAPLES, FL 34103 |
X | X | Chief Executive Officer |
/s/ Caroline Beasley, Attorney-in-Fact | 01/06/2005 | |
**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) | Class B common stock converts to Class A common stock on a one-for-one basis. |
(2) | This transfer was made from the George Beasley Estate Reduction Trust, dated June 7, 1999, B. Caroline Beasley and Bruce G. Beasley as Co-Trustees. |
(3) | This column is not applicable to this transaction. |
(4) | By George Beasley as Trustee of the GGB Family Limited Partnership Florida Intangible Tax Trust. |
(5) | This column is not applicable to this holding. |
(6) | By George Beasley as Trustee of the George G. Beasley Revocable Trust, dated May 26, 1998. |
(7) | By George Beasley as Trustee of the George Beasley Grantor Retained Annuity Trust, dated November 18, 2002. |
(8) | By George Beasley as Trustee of the REB Florida Intangible Tax Trust, dated August 20, 2004. |
Remarks: Caroline Beasley signed this Form 4 pursuant to a Power of Attorney previously filed with the Commission. |