-----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, FXWFOOTz/nEl6MLCXc8EAhVdBgPOA/jmevkqjfl5LPTMn4Lt1ov3ajhcVfXyp7W+ R9pIF/Lm2t/WrgKX17Re5A== 0001179110-04-001082.txt : 20040113 0001179110-04-001082.hdr.sgml : 20040113 20040113151843 ACCESSION NUMBER: 0001179110-04-001082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040109 FILED AS OF DATE: 20040113 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: LAGOMARSINO ROBERT J CENTRAL INDEX KEY: 0001198897 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 04522674 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 2004-01-09 0 0001027324 MID-STATE BANCSHARES MDST 0001198897 LAGOMARSINO ROBERT J 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 1 0 0 0 Common Stock 15.95 2004-01-09 4 J 0 4000 15.95 A 2003-01-09 2012-01-09 Common Stock 20000 4000 I By Company Non-Qualified Stock Option (right to buy)- 20,000 shares granted at an exercise price of $15.95 per share on January 9, 2002. The option is now 40% vested with 4,000 shares eligible for exercise by Mr. Lagomarsino. Shares granted at fair market value as of the market's closing on January 9, 2002. 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. Mr. Lagomarsino exercised 4,000 shares of this grant on June 12, 2003 (Form 4 filed June 13, 2003). Additional 4,000 shares vested on January 9, 2004 and are eligible for exercise by Mr. Lagomarsino at the exercise price of $15.95 per share. Shares granted to Mr. Lagomarsino by Company on January 9, 2002. Robert J. Lagomarsino 2004-01-13 -----END PRIVACY-ENHANCED MESSAGE-----