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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 | ||||||||
Warrant (right to buy) | $ 1.79 | 09/21/2012 | X(1) | 20,601 | (5) | 07/04/2016 | Common Stock | 20,601 | $ 0 | 14,399 | D | ||||
Warrant (right to buy) | $ 1.79 | 09/24/2012 | X(1) | 5,398 | (5) | 07/04/2016 | Common Stock | 5,398 | $ 0 | 9,001 | D | ||||
Warrant (right to buy) | $ 1.79 | 09/25/2012 | X(1) | 9,001 | (5) | 07/04/2016 | Common Stock | 9,001 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Tumelty John B. 5540 PIONEER CREEK DRIVE MAPLE PLAIN, MN 55359 |
Managing Dir.-Proto Labs, Ltd. |
/s/ Julie M. Regnier, Attorney-in-Fact for John B. Tumelty | 09/25/2012 | |
**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) | Transaction effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on July 27, 2012. |
(2) | Reflects the weighted average price of 20,601 shares of common stock of Proto Labs, Inc. sold by the reporting person in multiple transactions on September 21, 2012 with sale prices ranging from $33.50 to $33.85 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. |
(3) | Transaction effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on July 27, 2012. The transactions reported on this Form 4 conclude the transactions contemplated by the Rule 10b5-1 trading plan. |
(4) | Reflects the weighted average price of 9,001 shares of common stock of Proto Labs, Inc. sold by the reporting person in multiple transactions on September 25, 2012 with sale prices ranging from $33.50 to $33.64 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. |
(5) | Fully vested. |