Form SEC 1147 SEC 1147 Form 144

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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3235-0101
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December 31, 2009
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FORM 144

SEC USE ONLY
DOCUMENT SEQUENCE NO.

NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933

CUSIP NUMBER

ATTENTION: Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale
or executing a sale directly with a market maker.
1 (a) NAME OF ISSUER (Please type or print)

(b) IRS IDENT. NO.

1 (d) ADDRESS OF ISSUER

STREET

CITY

WORK LOCATION

(c) S.E.C. FILE NO.

STATE

ZIP CODE

(e) TELEPHONE NO.
AREA CODE

2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES (b) IRS IDENT. NO.
ARE TO BE SOLD

(c) RELATIONSHIP TO
ISSUER

(d) ADDRESS STREET

CITY

NUMBER

STATE

ZIP CODE

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.
3 (a)

SEC USE ONLY (c)

(b)
Title of the
Class of
Securities
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

Broker-Dealer
File Number

(d)

Number of Shares
or Other Units
To Be Sold

Aggregate
Market
Value

(See instr. 3(c))

(See instr. 3(d))

(e)
Number of Shares
or Other Units
Outstanding
(See instr. 3(e))

(f)

(g)
Approximate
Date of Sale

(See instr. 3(f))
(MO. DAY YR.)

Name of Each
Securities
Exchange
(See instr. 3(g))

INSTRUCTIONS:
1. (a)
(b)
(c)
(d)
(e)

Name of issuer
Issuer’s I.R.S. Identification Number
Issuer’s S.E.C. file number, if any
Issuer’s address, including zip code
Issuer’s telephone number, including area code

2. (a) Name of person for whose account the securities are to be sold
(b) Such person’s I.R.S. identification number, if such person is an entity
(c) Such person’s relationship to the issuer (e.g., officer, director, 10%
stockholder, or member of immediate family of any of the foregoing)
(d) Such person’s address, including zip code

3. (a)
(b)
(c)
(d)
(e)

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 amount)
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
(f) Approximate date on which the securities are to be sold
(g) 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.

SEC 1147 (01-07)

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:
Title of
the Class

INSTRUCTIONS:

Date you
Acquired

Nature of Acquisition Transaction

Name of Person from Whom Acquired
(If gift, also give date donor acquired)

Amount of
Securities 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 Seller

Title of Securities Sold

Date of Sale

Amount of
Securities Sold

Gross Proceeds

REMARKS:

INSTRUCTIONS:
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 personswhose sales are
required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing
this notice.

DATE OF NOTICE

ATTENTION:
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.

(SIGNATURE)

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)
SEC 1147 (01-04)