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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. __________)*
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1(b)
þ Rule 13d-1(c)
o Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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.
Page
of
1
NAMES OF REPORTING PERSONS
The Donald A. Foss 2009 Annuity Trust
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
o
(b)
o
3
SEC USE ONLY
4
CITIZENSHIP OR PLACE OF ORGANIZATION
Michigan
5
SOLE VOTING POWER
NUMBER OF
0
SHARES
6
SHARED VOTING POWER
BENEFICIALLY
OWNED BY
2,000,000
EACH
7
SOLE DISPOSITIVE POWER
REPORTING
PERSON
0
WITH:
8
SHARED DISPOSITIVE POWER
2,000,000
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,000,000
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
o
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.5%*
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
00
Page
of
1
NAMES OF REPORTING PERSONS
Allan V. Apple
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
o
(b)
o
3
SEC USE ONLY
4
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
5
SOLE VOTING POWER
NUMBER OF
7,840
SHARES
6
SHARED VOTING POWER
BENEFICIALLY
OWNED BY
2,000,000
EACH
7
SOLE DISPOSITIVE POWER
REPORTING
PERSON
7,840
WITH:
8
SHARED DISPOSITIVE POWER
2,000,000
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,007,840*
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
o
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.5%**
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
Allan V. Apple
(each, a “Reporting Person” and collectively, the “Reporting Persons”). See Exhibit A.
Allan V. Apple: United States
Shared
Shared
Sole power
power to
Sole power
power to
to dispose or
dispose or to
Amount
to vote or
vote or to
to direct the
direct the
Reporting
beneficially
Percent of
direct the
direct the
disposition
disposition
Person
owned:
class:
vote:
vote:
of:
of:
2,000,000
6.5%*
0
2,000,000
0
2,000,000
2,007,840
6.5%*
7,840
2,000,000
7,840
2,000,000
*
The percentage is calculated based upon total outstanding shares of 30,869,905 as of July 31,
2009, as set forth in issuer’s Form 10-Q filed on August 5, 2009.
October 2, 2009
THE DONALD A. FOSS
2009 ANNUITY TRUST
By:
/s/ Allan V. Apple
Name/ Title: Allan V. Apple, Trustee
By:
/s/ Allan V. Apple
Name:
Allan V. Apple
Joint Filing Agreement
THE DONALD A. FOSS
2009 ANNUITY TRUST
By:
/s/ Allan V. Apple
Name/ Title: Allan V. Apple, Trustee
By:
/s/ Allan V. Apple
Name:
Allan V. Apple