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