-----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, PVYcSPQ14pwSDd/V9AImPltPFi6UwQOcdW9hLbKGUXcGeioherTp7bEkvTLNktlp rFMdt8xbKqr28LG+HOPAuA== 0001179110-03-003164.txt : 20030707 0001179110-03-003164.hdr.sgml : 20030704 20030703193840 ACCESSION NUMBER: 0001179110-03-003164 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030703 FILED AS OF DATE: 20030707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MID-STATE BANCSHARES CENTRAL INDEX KEY: 0001027324 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 770442667 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1026 GRAND AVE CITY: ARROYO GRANDE STATE: CA ZIP: 93420 BUSINESS PHONE: 8054737700 MAIL ADDRESS: STREET 1: 1026 GRAND AVE CITY: ARROYO GRANDE STATE: CA ZIP: 93420 FORMER COMPANY: FORMER CONFORMED NAME: MID STATE BANCSHARES DATE OF NAME CHANGE: 19980820 FORMER COMPANY: FORMER CONFORMED NAME: BSM BANCORP DATE OF NAME CHANGE: 19961121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STATHOS JAMES G CENTRAL INDEX KEY: 0001198893 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 03776021 BUSINESS ADDRESS: STREET 1: MID-STATE BANCSHARES STREET 2: POST OFFICE BOX 580 CITY: ARROYO GRANDE STATE: CA ZIP: 93421-0580 BUSINESS PHONE: 8054736829 MAIL ADDRESS: STREET 1: MID-STATE BANCSHARES STREET 2: POST OFFICE BOX 580 CITY: ARROYO GRANDE STATE: CA ZIP: 93421-0580 4 1 edgar.xml FORM 4 - X0101 4 2003-07-03 0 0001027324 MID-STATE BANCSHARES MDST 0001198893 STATHOS JAMES G 0 1 0 0 Exec Vice President/CFO Common Stock 17.9350 2003-07-14 4 J 0 2118 17.9350 A 2000-07-14 2009-07-14 Common Stock 12706 7132 I By Company Common Stock 17.9350 2003-07-14 4 J 0 7882 17.9350 A 2000-07-14 2009-07-14 Common Stock 37294 32868 I By Company Incentive Stock Option (right to buy). 50,000 shares granted as an ISO under the Company's 1996 Stock Option Plan. Due to the $100K limitation, remaining 37,294 shares were issued and treated as a non-qualified stock option. Shares granted at fair market value. Incentive Stock Option granted July 14, 1999 will vest an additional 2,118 shares on July 14, 2003, increasing Mr. Stathos' available shares for exercise to 7,132 shares. These shares have not yet been acquired through the exercise of the option. Incentive Stock Option granted July 14, 1999 vests 20% per year on the anniversary date of the grant for five (5) years at which time the option becomes 100% vested. Optionee has another five (5) years from the 100% vesting anniversary date to exercise the shares in accordance with the terms and conditions of the Company's 1996 Stock Option Plan. No shares under this option grant have been exercised by the individual to date. Additional shares becoming vested and available for exercise by Mr. Stathos at the exercise price of $17.9350 per share. Non-Qualified Stock Option (right to buy). Non-Qualified Stock Option granted July 14, 1999 vests 20% per year on the anniversary date of the grant for five (5) years at which time the option becomes 100% vested. Optionee has another five (5) years from the 100% vesting anniversary date to exercise the shares in accordance with the terms and conditions of the Company's 1996 Stock Option Plan. James G. Stathos 2003-07-03 -----END PRIVACY-ENHANCED MESSAGE-----