-----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, VA+LnNrh+aK9VEpsl6jky1PudAgqXlCNjsSNpaDTT3s0WS3c6oOjVwQAqZcqs0AL x4GNFvLLQPrneBXCT0NvBQ== 0001340381-07-000013.txt : 20070302 0001340381-07-000013.hdr.sgml : 20070302 20070302175018 ACCESSION NUMBER: 0001340381-07-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070301 FILED AS OF DATE: 20070302 DATE AS OF CHANGE: 20070302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Welborn Wesley Miller CENTRAL INDEX KEY: 0001340386 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30497 FILM NUMBER: 07669074 BUSINESS ADDRESS: BUSINESS PHONE: 423-385-3004 MAIL ADDRESS: STREET 1: 6401 LEE HIGHWAY, STE B CITY: CHATTANOOGA STATE: TN ZIP: 37421 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2007-03-01 0 0001038773 CORNERSTONE BANCSHARES INC CSBQ 0001340386 Welborn Wesley Miller 6401 LEE HIGHWAY, STE B CHATTANOOGA TN 37421 1 0 0 0 Common Stock 15000 D Stock Options 13.25 2007-03-01 2016-03-01 Cornerstone Bancshares, Inc. 4000 4000 D Stock Options 15.24 2007-03-01 4 A 0 1000 0 A 2008-03-01 2017-03-01 Cornerstone Bancshares, Inc. 1000 1000 D On December 18, 2006 the common stock of Cornerstone Bancshares, Inc. split 2-for-1, resulting in the reporting person's ownership of 7,500 additional shares of common stock. This option was previously reported as covering 2,000 shares at an exercise price of $26.50 per share, but was adjusted to reflect the stock split that occured on December 18, 2006. The exercise dates is determined by a vesting schedule: 50% the first year from the anniversary of grant date, 50% the second date of the anniversary of grant date. Frank Hughes, Attorney in Fact 2007-03-02 -----END PRIVACY-ENHANCED MESSAGE-----