KEANE DANIEL G 4

4 · MOD PAC CORP · Filed Dec 17, 2012

Form 4

Period: 2012-12-14

DirectorPresident

Transactions

Gift
$.01 Par Value Common Stock
2012-12-14−406,905→ 0 total
Gift
$.01 Par Value Common Stock
2012-12-14+406,905→ 406,905 total(indirect: By Trust)

Holdings

Option
Exercise: $7.36From: 2008-06-20Exp: 2017-12-20→ $.01 PV Com Stk (26,000 underlying)
26,000
$.01 Par Value Common Stock
(indirect: By Spouse)
16,997
Option
Exercise: $11.68From: 2006-06-21Exp: 2015-12-21→ $.01 PV Com Stk (22,300 underlying)
22,300
Option
Exercise: $5.90From: 2012-06-02Exp: 2021-12-02→ $.01 PV Com Stk (12,500 underlying)
12,500
$.01 Par Value Class B Stock
(indirect: By Spouse)
14,995
Option
Exercise: $12.80From: 2005-07-06Exp: 2015-01-06→ $.01 PV Com Stk (22,300 underlying)
22,300
$.01 Par Value Common Stock
(indirect: By Children)
25,000
Option
Exercise: $1.85From: 2009-06-15Exp: 2018-12-15→ $.01 PV Com Stk (40,000 underlying)
40,000
Option
Exercise: $10.00From: 2007-06-13Exp: 2016-12-13→ $.01 PV Com Stk (22,300 underlying)
22,300
Option
Exercise: $4.37From: 2010-06-16Exp: 2019-12-16→ $.01 PV Com Stk (25,000 underlying)
25,000
$.01 Par Value Class B Stock
201,237
Option
Exercise: $4.65From: 2011-06-21Exp: 2020-12-21→ $.01 PV Com Stk (25,000 underlying)
25,000
Option
Exercise: $5.39From: 2004-01-24Exp: 2013-01-24→ $.01 PV Com Stk (31,921 underlying)
31,921
Option
Exercise: $8.44From: 2004-08-20Exp: 2014-02-20→ $.01 PV Com Stk (28,000 underlying)
28,000

Footnotes (3)

[F1]Mr. Keane transferred the shares of Common Stock reported on this line to a grantor trust (the "Trust") for the benefit of Mr. Keane's wife (with whom he shares a household) and their descendants. Mr. Keane disclaims any beneficial ownership in the shares held by the Trust and this report should not be deemed an admission that the reporting person is the beneficial owner of the Trust's shares for purpose of Section 16 or for any other purpose.
[F2]Mr. Keane disclaims any beneficial ownership in shares held by his wife.
[F3]Mr. Keane disclaims any beneficial ownership in shares held by his children.

Documents

1 file