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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SHERERTZ WILLIAM W 4724 S W MACADAM AVENUE PORTLAND, OR 97239 |
X | X | President and CEO |
Michael D. Mulholland, as attorney in fact | 02/06/2006 | |
**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 shares transferred to Nancy B. Sherertz in connection with a prior divorce settlement |
(2) | Represents the closing sale price of Barrett Business Services, Inc. common stock on the date of the transaction. |
(3) | In addition to the shares shown in column 5, the reporting person has indirect beneficial ownership of 10,650 shares held by his wife and 66,479 shares held by the reporting person for his children. |
(4) | In addition to reflecting the reported transactions, the number of shares shown in column 5 as directly beneficially owned by the reporting person has been reduced by 23,247 shares and the number of shares shown in footnote 3 as indirectly beneficially owned by the reporting person has been increased by 20,929 shares, each to bring these share totals in conformance with stock ownership records maintained by Barrett Business Services, Inc., and the reporting person. |