-----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, JnAKpgH42wjsqWGah8DQ8RTzO2C4SgnUnzHzl37lJrWwo5U2gRi21DaLkqWkq8Cb 0NsbsvcH1nPJKDJ0Uern8w== 0001179110-04-007795.txt : 20040409 0001179110-04-007795.hdr.sgml : 20040409 20040409125015 ACCESSION NUMBER: 0001179110-04-007795 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040313 FILED AS OF DATE: 20040409 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: 04726657 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 2004-03-13 0 0001027324 MID-STATE BANCSHARES MDST 0001198893 STATHOS JAMES G 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 0 1 0 0 Exec Vice President/CFO Common Stock 14.50 2004-03-21 4 J 0 4827 14.50 A 2002-03-21 2011-03-21 Common Stock 24138 14482 I By Company Common Stock 17.40 2004-03-13 4 J 0 4118 17.40 A 2003-03-13 2012-03-13 Common Stock 20588 8235 I By Company 24,138 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 9,658 shares were issued and treated as an Incentive Stock Option, and the remaining 14,480 shares were issued and treated as a Non-Qualified Option. Shares granted at closing market value for MDST as of March 21, 2001. Under the terms of the Company's 1996 Stock Option Plan, this grant vests 20% per year on the anniversary date of the grant for five (5) years at which time the options become 100% vested. The 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. Additional 2 shares vested under the Incentive grant and 4,825 shares vested under the Non-Qualified grant. A total of 4,827 shares now vested and available for exercise, with a total of 14,482 shares now available for exercise under this grant. Total number of shares approved by the Board of Directors as an Incentive Stock Option grant. Shares vested and now available for exercise by Mr. Stathos under these two grants. Shares granted to Mr. Stathos by the Company that have not yet been exercised. 20,588 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 7,564 shares were issued and treated as an Incentive Stock Option, and the remaining 13,024 shares were issued and treated as a Non-Qualified Option. Shares granted at closing market value for MDST as of March 13, 2002. Additional 4,118 shares vested under the Non-Qualified grant. A total of of 8,235 shares now available for exercise under this grant. James G. Stathos 2004-04-08 -----END PRIVACY-ENHANCED MESSAGE-----