UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ESTATE OF SCURLOCK ARCH C & SCURLOCK NANCY M EXECUTIRX 10575 NW SKYLINE BLVD PORTLAND, OR 97231-2616 |
 |  X |  |  |
Scurlock Nancy M 10575 NW SKYLINE BLVD PORTLAND, OR 97231-2616 |
 |  X |  |  |
/s/ Nancy M. Scurlock, Individually and as Executrix of the Estate of Arch C. Scurlock | 03/17/2005 | |
**Signature of Reporting Person | Date | |
Nancy M. Scurlock | 03/17/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | The 2003 Form 3 inadvertently failed to account for 1,500 additional shares of Common Stock, Par Value $0.24 ("Common Stock"), beneficially owned by the Estate of Arch C. Scurlock (the "Estate"). The 785,922 shares set forth herein includes such 1,500 shares of Common Stock. |
(2) | The 2003 Form 3 incorrectly stated that the Estate's ownership form was indirect instead of direct. The 785,922 shares set forth herein are owned directly by the Estate and indirectly by Nancy M. Scurlock, Executrix of the Estate. |
 Remarks: The Form 3 filed with the Securities and Exchange Commission on December 15, 2003 (the "2003 Form 3") listed the name of the Reporting Person incorrectly and the address of the Reporting Person has since changed. |