FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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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). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
UWHARRIE CAPITAL CORP [ NONE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/03/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock (See Footnote 1)(1) | 12/03/2004 | J(2) | V | 636 | A | $0.00(3) | 21,848 | D | ||
Common Stock (See Footnote 4)(4) | 12/03/2004 | J(2) | V | 49 | A | $0.00(3) | 1,687 | I | By Self As Custodian for Minor Daughter | |
Common Stock (See Footnote 5)(5) | 3,606.999 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options (Right to Purchase) | $4.711(7) | 12/03/2004 | J(2) | V | 209 | 04/21/1998(6) | 04/21/2008 | Common Stock | 209 | $0.00(3) | 7,165 | D | |||
Stock Options (Right to Purchase) | $4.744(7) | 12/03/2004 | J(2) | V | 2,343 | 11/29/1999(8) | 11/29/2009 | Common Stock | 2,343 | $0.00(3) | 80,453 | D |
Explanation of Responses: |
1. Held by Cede & Co., Depository for Fiserv Securities, Inc., Safekeeper for Christy D. Stoner |
2. Shares acquired as a result of a three percent (3%) stock dividend paid to shareholders of Uwharrie Capital Corp on 12/03/2004 as of Record Date 11/19/2004. No fractional shares were issued. Shareholders were paid cash in lieu of fractional shares. |
3. No money was paid by the shareholder(s) for the acquired shares. The shares were acquired as a result of a three percent (3%) stock dividend paid to shareholders of Uwharrie Capital Corp on 12/03/2004 as of Record Date 11/19/2004. |
4. Held by Cede & Co., Depository for Fiserv Securities, Inc., Safekeeper for Christy D. Stoner Custodian for Minor Daughter |
5. Held by Uwharrie Capital Corp Employee Stock Ownership Plan for Christy D. Stoner |
6. Incentive Stock Options granted 04/21/1998 were 100% vested as of date of grant. |
7. Option price adjusted as a result of a three percent (3%) stock dividend paid to shareholders of Uwharrie Capital Corp on 12/03/2004 as of Record Date 11/19/2004. |
8. Incentive Stock Options granted 11/29/1999 vest in four unequal annual installments beginning 11/29/1999. |
Christy D. Stoner by Tamara M. Singletary, EVP, Uwharrie Capital Corp | 12/03/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |