-----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, VN/jzsY9bWhMSeax1DhCxHOotlbZIruo6jsOrhCErinaG59JPa3ucmKEVJidUz90 IDkKjAJxs8Ku4PP6weK+xg== 0001179110-05-004835.txt : 20050304 0001179110-05-004835.hdr.sgml : 20050304 20050304133500 ACCESSION NUMBER: 0001179110-05-004835 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050216 FILED AS OF DATE: 20050304 DATE AS OF CHANGE: 20050304 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: SACKRIDER HARRY H CENTRAL INDEX KEY: 0001198903 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 05660657 BUSINESS ADDRESS: 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/A 1 edgar.xml FORM 4/A - X0202 4/A 2005-02-16 2005-03-02 0 0001027324 MID-STATE BANCSHARES MDST 0001198903 SACKRIDER HARRY H 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 0 1 0 0 EVP/Chief Credit Officer Common Stock 27.58 2005-02-16 4 J 0 14866 27.58 A 2006-02-16 2015-02-16 Common Stock 14866 0 I By Company 14,866 shares granted as an incentive stock option under the 1996 stock option plan.Due to the $100K limitation, 11,240 shares were issued as a non-qualified option and 3,626 shares were issued as an incentive option. Shares granted at closing market value for MDST as of 2/16/05 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 tems and conditions of the Company's Plan. Harry H. Sackrider 2005-03-04 -----END PRIVACY-ENHANCED MESSAGE-----