-----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, VpWwWptN7QcM8A0EqnRIHGC6z2OFnRwxcLXzskPHR+Mb+nNY1rYCppBY9nuCrRKV AbpIEm/YsI8tkV6Gy/Rj7Q== 0000904280-97-000092.txt : 19970513 0000904280-97-000092.hdr.sgml : 19970513 ACCESSION NUMBER: 0000904280-97-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970430 FILED AS OF DATE: 19970512 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HCB BANCSHARES INC CENTRAL INDEX KEY: 0001029740 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 621670792 STATE OF INCORPORATION: OK FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22423 FILM NUMBER: 97600335 BUSINESS ADDRESS: STREET 1: HEARTLAND COMMUNITY BANK STREET 2: 237 JACKSON STREET CITY: CAMDEN STATE: AK ZIP: 71701 BUSINESS PHONE: 5018366841 MAIL ADDRESS: STREET 1: HEARTLAND COMMUNITY BANK STREET 2: 237 JACKSON STREET CITY: CAMDEN STATE: AK ZIP: 71701 COMPANY DATA: COMPANY CONFORMED NAME: MOSELEY ROY WAYNE CENTRAL INDEX KEY: 0001038171 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 0 STREET 2: 237 JACKSON STREET CITY: CAMDEN STATE: AR ZIP: 71701 BUSINESS PHONE: 5018366841 MAIL ADDRESS: STREET 1: 1220 19TH STREET NW SUITE 700 STREET 2: 1220 19TH STREET NW SUITE 700 CITY: WASHINGTON STATE: DC ZIP: 20036 4 1 FORM 4 FOR APRIL 1997 FOR ROY WAYNE MOSELEY UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). 1. Name and Address of Reporting Person Roy Wayne Moseley 237 Jackson Street Camden, Arkansas 71701-0878 2. Issuer Name and Ticker or Trading Symbol HCB Bancshares, Inc.; HCBB 3. IRS or Social Security Number of Reporting Person (Voluntary) Omitted 4. Statement for Month/Year 04/97 5. If Amendment, Date of Original (Month/Year) N/A 6. Relationship(s) of Reporting Person(s) to Issuer [ X ] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) 7. Individual or Joint/Group Reporting [ x ] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security Common Stock, par value $0.01 per share 2. Transaction Date 4/30/97 3. Transaction Code P 4. Securities Acquired (A) or Disposed of (D) Amount (A) or (D) Price ------ ---------- ----- a. 7,500 shares A $75,000 b. 500 shares A $ 5,000 c. 300 shares A $ 3,000 d. 1,377 shares A $13,770 e. 200 shares A $ 2,000 5. Amount of Securities Beneficially Owned at End of Month 9,877 shares 6. Ownership Form: Direct (D) or Indirect (I) a. D b. D c. I d. I e. I 7. Nature of Indirect Beneficial Ownership c. By spouse as custodian for minor grandchild d. By Retirement Plan Trust e. By spouse as custodian for minor grandchild TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security N/A 2. Conversion of Exercise Price of Derivative Security N/A 3. Transaction Date N/A 4. Transaction Code Code V ---- --- N/A N/A 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (A) (D) --- --- N/A N/A 6. Date Exercisable and Expiration Date Date Exercisable Expiration Date ---------------- --------------- N/A N/A 7. Title and Amount of Underlying Securities Amount or Number Title of Shares ----- ---------- N/A N/A 8. Price of Derivative Security N/A 9. Number of Derivative Securities Beneficially Owned at End of Month 0 10. Ownership of Derivative Security: Direct (D) or Indirect (I) N/A 11. Nature of Indirect Beneficial Ownership N/A EXPLANATION OF RESPONSES: /s/ Roy Wayne Moseley April 30, 1997 ___________________________________ ___________________ Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----