FORM 3 (continued)
Table II — Derivative Securities Beneficially Owned ( e.g., puts, calls, warrants, options, convertible securities)
3. Title and Amount of Securities Underlying
4. Conver-
5. Owner-
6. Nature of Indirect
1. Title of Derivative Security
2. Date Exer-
Derivative Security
sion or
ship
Beneficial Ownership
cisable and
(Instr. 4)
Form of
(Instr. 4)
Exercise
Expiration
(Instr. 5)
Deriv-
Price of
Date
ative
Deri-
(Month/Day/Year)
Security:
vative
Amount
Direct
Date
Expira-
Security
or
(D) or
Exer-
tion
Title
Number
Indirect
cisable
Date
of
(I)
Shares
(Instr. 5)
None
Explanation of Responses:
No securities are benefically owned.
/s/ Shelley Rigger
4/19/2016
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
**Signature of Reporting Person
Date
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.
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 Number.
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