-----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, VoRWbVd03c7Oc7GDmxcJ3RGhKjGSTtVbJzZpeaF2wF2XOCODJm87gaBXnxr6Difv ampHTR6FJ0kEqZdkkqKoMA== 0001179110-03-005675.txt : 20030814 0001179110-03-005675.hdr.sgml : 20030814 20030814173805 ACCESSION NUMBER: 0001179110-03-005675 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030812 FILED AS OF DATE: 20030814 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: BELLO GRACIA B CENTRAL INDEX KEY: 0001198891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 03849023 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 - X0201 4 2003-08-12 0 0001027324 MID-STATE BANCSHARES MDST 0001198891 BELLO GRACIA B 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 1 0 0 0 Common Stock 15.50 2003-08-12 4 J 0 4000 15.50 A 2003-08-12 2008-08-12 Common Stock 20000 20000 I By Company Non-Qualified Stock Option (right to buy) - 20,000 shares granted at an exercise price of $15.50 per share on August 12, 1998. Option is now fully vested and shares are eligible for exercise until August 12, 2008. Shares granted at fair market value as of August 12, 1998. Under the terms of the Company's 1996 Stock Option Plan, this option grant 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 Plan. No shares under this stock option grant have been exercised by the individual date. Additional 4,000 shares vested on August 12, 2003 and are eligible for exercise by Mrs. Bello at the exercise price of $15.50 per share. This grant is now fully vested. Shares granted to Mrs. Bello by Company on August 12, 1998. Under this grant, no shares have been exercised to date. Gracia B. Bello 2003-08-14 -----END PRIVACY-ENHANCED MESSAGE-----