-----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, McPVv7hIjDuL7z/xGcIMibQNOlKzytxtMJl3JqxLY5slUp+FIL9sUcgdvE2NUc2t orlYlBB2aRLXPjHbwrXI3w== 0001340381-05-000004.txt : 20051102 0001340381-05-000004.hdr.sgml : 20051102 20051102151424 ACCESSION NUMBER: 0001340381-05-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990101 FILED AS OF DATE: 20051102 DATE AS OF CHANGE: 20051102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CORNERSTONE BANCSHARES INC CENTRAL INDEX KEY: 0001038773 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 621175427 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4154 RINGGOLD RD CITY: CHATTANOOGA STATE: TN ZIP: 37412-416 BUSINESS PHONE: 4236982454 MAIL ADDRESS: STREET 1: 4154 RINGGOLD RD CITY: CHATTANOOGA STATE: TN ZIP: 37412-0416 FORMER COMPANY: FORMER CONFORMED NAME: EAST RIDGE BANCSHARES INC DATE OF NAME CHANGE: 19970507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LARGE JAMES H CENTRAL INDEX KEY: 0001239623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30497 FILM NUMBER: 051173011 BUSINESS ADDRESS: STREET 1: C/O CORNERSTONE COMMUNITY BANK STREET 2: 6401 LEE HIGHWAY STE B CITY: CHATTANOOGA STATE: TN ZIP: 37421 BUSINESS PHONE: 4233853000 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 1999-01-01 0 0001038773 CORNERSTONE BANCSHARES INC csbq 0001239623 LARGE JAMES H 1 0 0 0 Common Stock 2005-11-01 2005-11-01 4 P 0 10000 5 A 37730 D Common Stock 44340 I Profit Sharing Plan Common Stock 10000 I Owned by Spouse Stock Options 5 2005-11-01 2005-11-01 4 M 0 10000 5 D 2006-03-01 2006-03-01 Cornerstone Bancshares, Inc. 10000 1500 D Stock Options 13.4 2006-03-01 2015-03-01 Cornerstone Bancshares, Inc. 1500 1500 D The exercise prices range from $10.88 to $18.45 The exercise dates are determined by a vesting schedule, 50% the first year, 50% the second year. The expiration dates range from 2014 to 2015 \s\ James H. Large 2005-11-02 -----END PRIVACY-ENHANCED MESSAGE-----