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Washington, D.C. 20549
December 31, 2009
Estimated average burden hours
SEC USE ONLY
NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
DOCUMENT SEQUENCE NO.
1(a) NAME OF ISSUER
(b) IRS IDENT. NO.
(c) S.E.C. FILE NO.
(e) TELEPHONE NO.
2(a) NAME OF PERSON
FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD
(c) ADDRESS (Street)
10507 W 52nd St
INSTRUCTION: The person filing this notice should
contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number.
Title of the
To Be Sold
Name and Address of Each Broker
Through Whom the Securities are
to be Offered or Each Market Maker
who is Acquiring the Securities
Shares or Other
Units To Be Sold
(See instr. 3(c))
(See instr. 3(d))
Number of Shares
or Other Units
(See instr. 3(e))
Date of Sale
(See instr. 3(f))
(MO. DAY YR.)
Name of Each
(See instr. 3(g))
Name of issuer
Issuers I.R.S. Identification Number
Issuers S.E.C. file number, if any
Issuers address, including zip code
Issuers telephone number, including area code
Name of person for whose account the securities are to be sold
Such persons relationship to the issuer (e.g., officer, director, 10 percent stockholder, or
member of immediate family of any of the foregoing)
Such persons address, including zip code
Title of the class of securities to be sold
Name and address of each broker through whom the securities are intended to be sold
Number of shares or other units to be sold (if debt securities, give the aggregate face
Aggregate market value of the securities to be sold as of a specified date within 10 days prior
to the filing of this notice
Number of shares or other units of the class outstanding, or if debt securities the face amount
thereof outstanding, as shown by the most recent report or statement published by the issuer
Approximate date on which the securities are to be sold
Name of each securities exchange, if any, on which the securities are intended to be sold
Potential persons who are to 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.
TABLE I SECURITIES TO BE SOLD
Furnish the following information with
respect to the acquisition of the securities to be sold
and with respect to the payment of all or any part of the
purchase price or other consideration therefor:
Name of Acquisition Transaction
Name of Person From
(If gift, also give date donor acquired)
Date of Payment
Nature of Payment
If the securities were purchased and full payment therefor was not made in
cash at the time of purchase, explain in the table or in a note thereto the
nature of the consideration given. If the consideration consisted of any note or
other obligation, or if payment was made in installments describe the
arrangement and state when the note or other obligation was discharged in full
or the last installment paid.
TABLE II SECURITIES SOLD DURING THE PAST 3 MONTHS
Furnish the following information as to all securities
of the issuer sold during the past 3 months by the person for whose account the securities are to be sold.
Name and Address of the Seller
Title of Securities Sold
Date of Sale
See the definition of person in paragraph (a) of Rule 144. Information is to be given not only as
to the person for whose account the securities are to be sold but also as to all other persons
included in that definition. In addition, information shall be given as to sales by all persons
whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account
of the person filing this notice.
The person for whose account the securities to which this notice relates are to be sold hereby
represents by signing this notice that he does not know any material adverse information in regard
to the current and prospective operations of the Issuer of the securities to be sold which has not
been publicly disclosed. If such person has adopted a written trading plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange Act, by signing
the form and indicating the date that the plan was adopted or the instruction given, that person makes such representation as of the plan adoption or instruction date.
The notice shall be signed by the person for whose
account the securities are to be sold. At least one copy of the notice shall be manually signed.
Any copies not manually signed shall bear typed or printed signatures.
ATTENTION: Intentional misstatements or omission of
facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)
The above information was disclosed in a filing to the SEC. To see the filing, click here.
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