-----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, CNH40r+yAAiXuxqwIQTjbz8P8Grw2Gebwe8siT9jn4cFxbH12EpfBYZ+S0hpLM3B ktJg4HG79FSil5t4FEqDPA== 0000904280-98-000256.txt : 19980814 0000904280-98-000256.hdr.sgml : 19980814 ACCESSION NUMBER: 0000904280-98-000256 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980501 FILED AS OF DATE: 19980813 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: 5 SEC ACT: SEC FILE NUMBER: 000-22423 FILM NUMBER: 98686153 BUSINESS ADDRESS: STREET 1: HEARTLAND COMMUNITY BANK STREET 2: 237 JACKSON ST CITY: CAMDEN STATE: AK ZIP: 71701 BUSINESS PHONE: 8708366841 MAIL ADDRESS: STREET 1: HEARTLAND COMMUNITY BANK STREET 2: 237 JACKSON STREET CITY: CAMDEN STATE: AK ZIP: 71701 COMPANY DATA: COMPANY CONFORMED NAME: MCKEEL CAMCRON D CENTRAL INDEX KEY: 0001038174 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 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 5 1 FORM 5 FOR MAY 1998 FOR CAMERON D. MCKEEL UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). [ ] Form 3 Holdings Reported [ ] Form 4 Transactions Reported 1. Name and Address of Reporting Person * McKeel Cameron D. _____________________________________________________________ (Last) (First) (Middle) 237 Jackson Street _____________________________________________________________ (Street) Camden, Arkansas 71701-0878 _____________________________________________________________ (City) (State) (Zip) 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 6/98 5. If Amendment, Date of Original (Month/Year) N/A 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ X ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) Executive Vice President ____________________________________________________ 7. Individual or Joint/Group Reporting (check applicable line) [ X ] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person * If the form is filed by more than one reporting person, see instruction 4(b)(v). TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED 1. Title of Security (Instr. 3) Common Stock 2. Transaction Date (Month/Day/Year) a. 5/1/98 3. Transaction Code (Instr. 8) A 4. Securities Acquired (A) or Disposed of (D) (Instr.3, 4 and 5) Amount (A) or (D) Price ------ ---------- ----- a. 10,580 A (1) (1) Shares granted without cost through Issuer's Management Recognition Plan ("MRP"). Such shares vest at an annual rate of 25% beginning on May 1, 1998. 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) a. 10,580 b. 500 c. 9,000 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) a. I b. D c. I 7. Nature of Indirect Beneficial Ownership (Instr. 4) a. by MRP trust c. by Retirement Plan Trust TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) Common Stock Options (Right to Buy) 2. Conversion or Exercise Price of Derivative Security 16.00 3. Transaction Date (Month/Day/Year) 5/1/98 4. Transaction Code (Instr. 8) A 5. Number of Derivative Securities Acquired (A)or Disposed of(D) (Instr. 3, 4 and 5) A D ---- ---- 47,612 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date ---------------- --------------- (1) 5/1/08 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Amount or Number Title of Shares ----- --------- Common Stock 47,612 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) 47,612 10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D 11. Nature of Indirect Beneficial Ownership (Instr. 4) EXPLANATION OF RESPONSES: (1) Pursuant to HCB Bancshares, Inc. 1998 Stock Option Plan, Options vest at an annual rate of 25% per year beginning May 1, 1998 /s/ Cameron D. McKeel August 11, 1998 ________________________________ ___________________ ** Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. -----END PRIVACY-ENHANCED MESSAGE-----