-----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, BWpGVUOLM+xSYgsOM8TKV5e6P75e5Q77eLheEendvtIlBebVucf+SwwWIkkRfMqe xWICqZah9L2mWVD9IRgpyQ== 0001434890-09-000020.txt : 20090512 0001434890-09-000020.hdr.sgml : 20090512 20090512072220 ACCESSION NUMBER: 0001434890-09-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090511 FILED AS OF DATE: 20090512 DATE AS OF CHANGE: 20090512 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: 09817083 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 X0303 4 2009-05-11 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 Common Stock 2500 I IRA Common Stock 2009-05-11 4 P 0 400 5 A 2900 I IRA Common Stock 2009-05-11 4 P 0 1191 5.25 A 4091 I IRA Common Stock 2009-05-11 4 P 0 909 5.51 A 5000 I IRA Stock Options 13.25 2007-03-01 2016-03-01 Cornerstone Bancshares, Inc. 4000 4000 D Stock Options 15.25 2008-03-01 2017-03-01 Cornerstone Bancshares, Inc. 1000 5000 D Stock Options 7.99 2009-03-01 2018-03-01 Cornerstone Bancshares, Inc. 1600 6600 D Stock Options 3.6 2010-03-01 2019-03-01 Cornerstone Bancshares, Inc. 2050 8650 D Stock held in a Simplified Employee Pension plan "SEP" - Welborn & Associates Inc. FBO Miller Welborn The exercise date is determined by the following vesting schedule: 50% after the 1st anniversary date and 100% after the 2nd anniversary date. Frank Hughes, Attorney in Fact 2009-05-12 -----END PRIVACY-ENHANCED MESSAGE-----