-----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, U1cGSANWAO3mPKA2gfBBZFNsFogNBiPN+ToSAIUx1ZhxqvhhonQBkrdypPYYasbw TUVyfLo/AIxHqyI6qUA+jg== 0001179110-04-011572.txt : 20040526 0001179110-04-011572.hdr.sgml : 20040526 20040526172737 ACCESSION NUMBER: 0001179110-04-011572 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040519 FILED AS OF DATE: 20040526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miner Michael Lee CENTRAL INDEX KEY: 0001291893 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 04833042 BUSINESS ADDRESS: BUSINESS PHONE: 805-473-6829 MAIL ADDRESS: STREET 1: POST OFFICE BOX 580 STREET 2: 991 BENNETT AVENUE CITY: ARROYO GRANDE STATE: CA ZIP: 93421 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 3 1 edgar.xml FORM 3 - X0202 3 2004-05-19 0 0001027324 MID-STATE BANCSHARES MDST 0001291893 Miner Michael Lee 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 1 0 0 0 Common Stock 1000 D Common Stock 21.73 2005-05-19 2014-05-19 Common Stock 20000 I By Company Non-Qualified Stock Option (right to buy) approved and granted to Mr. Miner by the Board of Directors at the Board of Directors Meeting held May 19, 2004. Mr. Miner is a newly elected director, elected by the shareholders of Mid-State Bancshares at the Annual Shareholders Meeting held May 18, 2004. Option price established using the closing market value for MDST on May 19, 2004. Non-Qualified Stock Option (right to buy) issued to Mr. Miner. 20,000 shares were granted at the exercise price of $21.73 per share. 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 option are available for exercise until May 19, 2005 at which time it will be 20% vested. Michael L. Miner 2004-05-26 -----END PRIVACY-ENHANCED MESSAGE-----