- Statement of Changes in Beneficial Ownership (4)
2011年7月6日 - 1:06AM
Edgar (US Regulatory)
FORM 4
[
X
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Expires:
February 28, 2011
Estimated average burden
hours per response...
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Falck Danmark A/S
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2. Issuer Name
and
Ticker or Trading Symbol
RURAL/METRO CORP /DE/
[
RURL
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O THOMAS HINRICHSEN GENERAL COUNSEL, VICE PRESIDENT
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/30/2011
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(Street)
POLITITORVET, COPENHAGEN V, G7 DK-1780
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, par value $0.01
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6/30/2011
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S
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3306526
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D
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$17.25
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0
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D
(1)
(2)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Neither the filing of this Form 4 nor any of its contents shall be deemed to constitute an admission that Falck, Nordic Capital V and Nordic Capital V Alpha were, for the purposes of Sections 13(d), 13(g) or 16 of the Securities Exchange Act of 1934, as amended (the "Act"), or for any other purpose, the beneficial owners of any securities. Pursuant to Rule 13d-4 of the Act, Falck, Nordic Capital V and Nordic Capital V Alpha disclaim beneficial ownership of the shares of the Issuer previously held by Falck Danmark. Falck, Nordic Capital V and Nordic Capital V Alpha do not have or share (nor have they had or shared) a pecuniary interest in the shares of the Issuer held by Falck Danmark for purposes of Rule 16a-1(a)(2) under the Act.
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(
2)
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Due to their relationships with Falck Danmark or each other, Falck A/S, a limited liability company organized under the laws of Denmark ("Falck"); Nordic Capital V Limited, a company registered in Jersey, Channel Islands ("Nordic Capital V"); and Nordic Capital V Alpha Limited, a company registered in Jersey, Channel Islands ("Nordic Capital V Alpha"), may have been deemed to beneficially own the shares held by Falck Danmark.
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Remarks:
Effective February 19, 2010, Falck Holding A/S and Falck A/S merged with Falck Holding A/S as the surviving entity. Effective April 29, 2010 Falck Holding A/S changed its name to Falck A/S.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Falck Danmark A/S
C/O THOMAS HINRICHSEN GENERAL COUNSEL
VICE PRESIDENT
POLITITORVET, COPENHAGEN V, G7 DK-1780
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X
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Falck A/S
C/O THOMAS HINRICHSEN, GENERAL COUNSEL
VICE PRESIDENT
POLITITORVET, COPENHAGEN V, G7 DK-1780
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see footnote 2
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Nordic Capital V Ltd
C/O LYNDA ELLIOTT, DIRECTOR
26 ESPLANADE, ST. HELIER, JERSEY
CHANNEL ISLANDS, X0 JE2 3QA
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see footnote 2
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Nordic Capital V Alpha Ltd
C/O LYNDA ELLIOTT, DIRECTOR
26 ESPLANADE, ST. HELIER, JERSEY
CHANNEL ISLANDS, X0 JE2 3QA
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see footnote 2
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Signatures
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/s/ Matthew Jacobson, Attorney-in-fact for FALCK DANMARK A/S
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7/2/2011
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**
Signature of Reporting Person
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Date
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/s/ Matthew Jacobson, Attorney-in-fact for FALCK A/S
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7/2/2011
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**
Signature of Reporting Person
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Date
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/s/ Matthew Jacobson, Attorney-in-fact for NORDIC CAPITAL V LIMITED
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7/2/2011
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**
Signature of Reporting Person
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Date
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/s/ Matthew Jacobson, Attorney-in-fact for NORDIC CAPITAL V ALPHA LIMITED
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7/2/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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