0001127602-11-018069.txt : 20110601 0001127602-11-018069.hdr.sgml : 20110601 20110601131424 ACCESSION NUMBER: 0001127602-11-018069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110531 FILED AS OF DATE: 20110601 DATE AS OF CHANGE: 20110601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forrest Greg D CENTRAL INDEX KEY: 0001332699 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16231 FILM NUMBER: 11884348 MAIL ADDRESS: STREET 1: 1814 W TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XETA TECHNOLOGIES INC CENTRAL INDEX KEY: 0000742550 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 731130045 STATE OF INCORPORATION: OK FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 1814 WEST TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 BUSINESS PHONE: 9186648200 MAIL ADDRESS: STREET 1: 1814 WEST TACOMA CITY: BROKEN ARROW STATE: OK ZIP: 74012 FORMER COMPANY: FORMER CONFORMED NAME: XETA CORP DATE OF NAME CHANGE: 19920703 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2011-05-31 1 0000742550 XETA TECHNOLOGIES INC XETA 0001332699 Forrest Greg D 1814 W. TACOMA BROKEN ARROW OK 74012 1 1 CEO & President Common Stock 2011-05-31 4 D 0 100000 5.50 D 0 D Common Stock 2011-05-31 4 D 0 16840 5.50 D 0 D Xeta Stock Fund in 401k Plan 2011-05-31 4 D 0 7079 5.50 D 0 I Stock in 401k Plan Stock Options (Right to Buy) 1.77 2011-05-31 4 D 0 30000 D 2015-12-18 Common Stock 0 0 D Stock Options (Right to Buy) 2.54 2011-05-31 4 D 0 71013 D 2015-10-16 Common Stock 0 0 D Stock Options (Right to Buy) 2.90 2011-05-31 4 D 0 42500 D 2016-12-27 Common Stock 0 42500 D Disposed of pursuant to Agreement and Plan of Merger, dated February 8, 2011, by and among XETA Technologies, Inc., PAETEC Holding Corp. and Hera Corparation; each share has been converted into the right to receive $5.50 per share (the Merger Consideration") Represents the equivalent number of shares held as units for the reporting person's account by the Company's 401k retirement plan. Option vested in full on the effective date of the merger May 31, 2011. Each vested option was cancelled and converted into the right to receive a cash per share payment equal to the product of (i) the excess of the Merger Consideration over the applicable exercise price of such option and (ii) the number of shares of the Company's common stock issuable upon exercise of the option less any applicable withholding taxes. 50% of the total number of shares covered by such option vested pursuant to its terms on October 16, 2010; on the effective date of the merger, May 31, 2011, the remaining 50% of the shares covered by such option vested. 50% of the total number of shares covered by such option vested on the effective date of the merger May 31, 2011; the remaining 50% of the shares covered by such option were forfeited upon cancellation of the option. Greg D Forrest 2011-05-31