4//SEC Filing
JOHNSON B JACK 4
Accession 0000909654-03-001093
CIK 0000934302other
Filed
Oct 22, 8:00 PM ET
Accepted
Oct 23, 5:03 PM ET
Size
10.5 KB
Accession
0000909654-03-001093
Insider Transaction Report
Form 4
FIRST SOUTHERN BANCSHARES INC/DE(FSTH.PK)
JOHNSON B JACK
DirectorPres. & Chief Executive
Transactions
- Other
Series A Nonconvertible Preferred Stock
2003-10-15−8,300→ 0 total(indirect: By IRA) - Other
Common Stock Warrants (right-to-buy)
2003-10-15+5,516→ 5,516 total(indirect: By IRA)Exercise: $0.01From: 2004-10-15Exp: 2006-10-15→ Common Stock (5,516 underlying) - Other
Rights to Acquire Common Stock Warrants (r-t-b)
2003-10-15+5,516→ 5,516 total(indirect: By IRA)Exercise: $0.01From: 2005-10-15Exp: 2007-10-15→ Common Stock (5,516 underlying)
Holdings
- 2,500
Common Stock
- 25,000
Incentive Stock Option (right-to-buy)
Exercise: $2.00From: 2003-05-01Exp: 2009-05-01→ Common Stock (25,000 underlying)
Footnotes (4)
- [F1]On October 15, 2003, the reporting person's IRA, exchanged 8,300 shares of the issuer's Series A Convertible Preferred Stock for units consisting of (i) capital notes, (ii) warrants and (iii) rights to acquire additional warrants, which are reported separately on this Form 4.
- [F2]On October 15, 2003, the reporting person's IRA, exchanged 8,300 shares of the issuer's Series A Convertible Preferred Stock for units consisting of (i) capital notes, (ii) warrants, which are reported separately on this Form 4, and (iii) these rights to acquire additional warrants.
- [F3]Units consisting of (i) capital notes having a principal amount equal to the aggregate purchase price of the units, (ii) warrants and (iii) rights to acquire additional warrants were acquired in exchange for 8,300 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.
- [F4]These options were granted under the First Southern Bancshares, Inc.1996 Stock Option Plan, and are exercisable in five equal annual installments commencing on May 1, 2003.
Documents
Issuer
FIRST SOUTHERN BANCSHARES INC/DE
CIK 0000934302
Entity typeother
Related Parties
1- filerCIK 0001204951
Filing Metadata
- Form type
- 4
- Filed
- Oct 22, 8:00 PM ET
- Accepted
- Oct 23, 5:03 PM ET
- Size
- 10.5 KB