0001434890-13-000014.txt : 20130304 0001434890-13-000014.hdr.sgml : 20130304 20130304160126 ACCESSION NUMBER: 0001434890-13-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130301 FILED AS OF DATE: 20130304 DATE AS OF CHANGE: 20130304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petty Gary Wayne Jr CENTRAL INDEX KEY: 0001434890 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30497 FILM NUMBER: 13661580 BUSINESS ADDRESS: BUSINESS PHONE: 423-385-3054 MAIL ADDRESS: STREET 1: 6401 LEE HIGHWAY SUITE 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 X0306 4 2013-03-01 0 0001038773 CORNERSTONE BANCSHARES INC CSBQ 0001434890 Petty Gary Wayne Jr 6401 LEE HIGHWAY SUITE B CHATTANOOGA TN 37421 0 1 0 0 EVP & CFO Stock Options 2.37 2013-03-01 4 A 0 15000 0 A 2015-03-01 2023-03-01 Cornerstone Bancshares, Inc. 15000 59700 D (1) The exercise date is determined by the following vesting schedule: 30% after the 2nd anniversary date, 60% after the 3rd anniversary date, and 100% after the 4th anniversary date. Nathaniel F. Hughes, Attorney in Fact 2013-03-04