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FORM 4
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION STATEMENT 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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(Print or Type Responses)
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Table II - Derivative Securities Acquired, Disposed
of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative
Security |
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 |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and
Expiration Date |
7. Title and Amount of
Securities Underlying Derivative Security |
8. Price of Derivative
Security |
9. Number of Derivative
Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form of
Derivative Security: Direct (D) or Indirect (I) |
11. Nature of Indirect
Beneficial Ownership |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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Reporting Owner Name / Address |
Relationships |
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Director |
10% Owner |
Officer |
Other |
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BIXBY ANGELINE I |
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X |
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Angeline I. Bixby |
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05/11/2007 |
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**Signature
of Reporting Person |
Date |
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(1) As a co-trustee of the
Walter E. Bixby Descendants Trust with Walter E. Bixby and Robert Philip
Bixby, Ms. Bixby shares |
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(2) As reported on a
Schedule 13D filed by the Bixby family group with the Securities and Exchange
Commission on November 2, |
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(3) Effective May 10, 2007,
pursuant to the terms of the Walter E. Bixby Descendants Trust dated
12/30/76, 393,535 shares of |
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(4a) 393,535 shares total
were transferred to Ann I. Bixby as Trustee for the following trusts and in
the stated amounts: |
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(4b) Walter E. Bixby
Descendants Trust FBO Blake C. Bixby, R. Philip Bixby, Trustee, et al. -
57,219 shares; Walter E. Bixby |
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Reminder: Report on a
separate line for each class of securities beneficially owned directly or
indirectly. |
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If the form is filed by
more than one reporting person, see Instruction 4(b)(v). |
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Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: File three copies of
this Form, one of which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
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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. |
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