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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who 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 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Suriyakumar Kumarakulasingam C/O AMERICAN REPROGRAPHICS COMPANY 1981 N. BROADWAY, SUITE 385 WALNUT CREEK, CA 94596 |
 X |  X |  Chairman, President and CEO |  |
/s/ Kumarakulasingam Suriyakumar | 02/13/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents a transfer of 500,000 shares from the Suriyakumar Family Trust to the Suriyakumar 2008 Annuity Trust I and Suriyakumar 2008 Annuity Trust II, with 250,000 shares transferred to each of the 2008 Annuity Trust I and the 2008 Annuity Trust II. |
(2) | As trustee of the Suriyakumar 2008 Annuity Trust I, Mr. Suriyakumar disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
(3) | As trustee of the Suriyakumar 2008 Annuity Trust II, Mr. Suriyakumar disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
(4) | Mr. Suriyakumar has an ownership of 37.4% in Dieterich Post Company and serves on its board of directors so he could be deemed to have beneficial ownership of these shares. Mr. Suriyakumar disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
(5) | Mr. Suriyakumar has an ownership of 44% in Micro Device, Inc. and serves on its board of directors so he could be deemed to have beneficial ownership of these shares. Mr. Suriyakumar disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |