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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 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 | |
HILLMAN JEFFREY D 13700 PROGRESS BLVD. ALACHUA, FL 32615 |
X | X | Chief Scientific Officer |
/s/ Jeffrey D. Hillman | 01/03/2005 | |
**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) | Since the reporting person's last report, 7,000 shares previously owned by Jeffrey D. Hillman, Trustee of the Jeffrey D. Hillman 2002 Trust ("2002 Trust") were gifted to Harvard University. |
(2) | Since the reporting person's last report, 389,142 shares previously owned by Jeffrey D. Hillman, as Trustee of the Jeffrey D. Hillman Grantor Retained Annuity Trust ("GRAT") have been transferred to 2002 Trust. |
(3) | Since the reporting person's last report, 2,226,862 shares previously owned by Jeffrey D. Hillman, Trustee of the Jeffrey D. Hillman 2002 Trust have been contributed to a FLITE trust known as "Stephanie C. Haas, Trustee of the Jeffrey D. Hillman Irrevocable Trust". |