FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of |
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(X ) |
Check this box if no longer |
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(Print or Type Responses) |
1. Name and Address of Reporting Person* ________________________________ (Last) (First) (Middle) 1701 NW Fawn Place ________________________________ (Street) Blue Springs, MO 64015-6449 ________________________________ (City (State) (Zip) |
2. Issuer Name and Ticker or Trading Symbol |
4. Statement for
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6. Relationship of Reporting Person(s) to Issuer Officer (give title below) __X_ Other (specify below) |
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3. I.R.S. Identification Number of
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5 If Amendment, |
7. Individual or Joint/Group Filing (Check Applicable Line) |
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Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Transaction |
2A. Deemed |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of Securities |
6. OwnershipForm: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature ofIndirect Beneficial Ownership (Instr. 4) |
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Code |
V |
Amount |
(A) or |
Price |
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Common Stock |
1,253 |
D |
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4,765 |
D |
IRA |
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FORM 4 (continued) |
Table II `
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of |
2. Conversion |
3. Transaction |
3A. Deemed |
4. Transaction |
5. Number of |
6. Date Exercisable |
7. Title and Amount of |
8. Price of |
9. Number of |
10. Ownership |
11. Nature of |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or |
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Explanation of Responses:
Executed on behalf of Ronald G. Wasson by Jeanie Sell Latz (see Attached Exhibit A - Power of Attorney) |
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/s/Jeanie Sell Latz |
November 7, 2002 |
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**Signature of Reporting Person |
Date |
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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. |
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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. |