CUSIP No. 006743306
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13D
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Page 2 of 5
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1
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NAMES OF REPORTING PERSONS
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Susan C. Chymiak, Trustee of the Susan C. Chymiak Trust created by Trust Agreement dated March 31, 1997, as subsequently amended and restated, which
amended and restated the Susan Chymiak Revocable Trust dated March 4, 1992
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☒
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States of America
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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0
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8
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SHARED VOTING POWER
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1,796,000
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9
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SOLE DISPOSITIVE POWER
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0
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10
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SHARED DISPOSITIVE POWER
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1,796,000
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,796,000
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☒
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Spouse, Kenneth A. Chymiak, files separately.
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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17.3%
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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CUSIP No. 006743306
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13D
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Page 3 of 5
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Item 1. |
Security and Issuer
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Item 2. |
Identity and Background
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(a) |
Susan C. Chymiak, Trustee of the Susan C. Chymiak Trust created by Trust Agreement dated March 31, 1997, as subsequently amended and restated, which amended and restated the Susan
Chymiak Revocable Trust dated March 4, 1992.
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(b) |
The residence address of Ms. Chymiak is 15512 Larsen Street, Overland Park, Kansas 66221.
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Item 3. |
Source and Amount of Funds or Other Consideration
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Item 4. |
Purpose of Transaction
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CUSIP No. 006743306
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13D
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Page 4 of 5
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Item 5. |
Interest in Securities of the Issuer
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Item 6. |
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
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Item 7. |
Material to Be Filed as Exhibits
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CUSIP No. 006743306
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13D
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Page 5 of 5
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