0001434890-12-000017.txt : 20120305
0001434890-12-000017.hdr.sgml : 20120305
20120305163803
ACCESSION NUMBER: 0001434890-12-000017
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120301
FILED AS OF DATE: 20120305
DATE AS OF CHANGE: 20120305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welborn Wesley Miller
CENTRAL INDEX KEY: 0001340386
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-30497
FILM NUMBER: 12667074
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/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
4/A
2012-03-01
2012-03-05
0
0001038773
CORNERSTONE BANCSHARES INC
CSBQ
0001340386
Welborn Wesley Miller
6401 LEE HIGHWAY, STE B
CHATTANOOGA
TN
37421
1
0
0
0
Common Stock
2012-03-01
4
A
0
15000
0
A
49026
D
Stock Option
1.65
2012-03-01
4
A
0
10000
0
A
2013-03-01
2022-03-01
Cornerstone Bancshares, Inc.
10000
13650
D
The original Form 4 listed common stock of 2,500. The amount that should have been reported totaled 15,000.
The original Form 4 reported 18,650 in stock options. The amount that should have been reported totaled 13,650.
Frank Hughes, Attorney in Fact
2012-03-05