-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JHmyfm+CbvVOChl0LHwKNo1WUnBQJtIzHwu6wdjeUHoM/OMQ+iiPjFLZ+iu+ZemX GSibn8pnInQz1dXfGKkdxQ== 0001001614-04-000005.txt : 20040127 0001001614-04-000005.hdr.sgml : 20040127 20040127141309 ACCESSION NUMBER: 0001001614-04-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARTER ROBERT M CENTRAL INDEX KEY: 0001251658 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 04545846 MAIL ADDRESS: STREET 1: 603 MAIN AVENUE STE. 500 CITY: KNOXVILLE STATE: TN ZIP: 37902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TENGASCO INC CENTRAL INDEX KEY: 0001001614 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870267438 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 603 MAIN AVE STREET 2: SUITE 500 CITY: KNOXVILLE STATE: TN ZIP: 37902 BUSINESS PHONE: 4235231124 MAIL ADDRESS: STREET 1: 630 MAIN AVENUE STREET 2: SUITE 500 CITY: KNOXVILLE STATE: TN ZIP: 37902 5 1 form5carter_ex.xml X0201 5 2003-12-31 0 0 1 0001001614 TENGASCO INC TGC 0001251658 CARTER ROBERT M 603 MAIN AVENUE KNOXVILLE TN 37902 0 1 0 0 President Tengasco Pipeline Common Stock 2003-07-03 4 S 0 12000 1.12 D 7696 D Option Right to Buy 2.86 2002-08-05 5 J 0 1 0 A 2002-08-05 2005-08-05 Common Stock 13125 1 D Grant of option pursuant to Tengasco, Inc. Stock Incentive Plan. S/Robert M. Carter 2004-01-27 -----END PRIVACY-ENHANCED MESSAGE-----