-----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, JpvC1lMAgCfcffagdjV3UxDlxSxDveUvA6hQyqRDwaxzwwEEVmVBtakX66/6aEHe 0XuEKFUWEMU+9LTvcPSF0g== 0000909654-04-001331.txt : 20040512 0000909654-04-001331.hdr.sgml : 20040512 20040512172342 ACCESSION NUMBER: 0000909654-04-001331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040511 FILED AS OF DATE: 20040512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIREMAN MARK D CENTRAL INDEX KEY: 0001204230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25023 FILM NUMBER: 04800221 MAIL ADDRESS: STREET 1: C/O FIRST CAPITAL INC STREET 2: 220 FEDERAL DRIVE NW CITY: CORYDON STATE: IN ZIP: 47115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST CAPITAL INC CENTRAL INDEX KEY: 0001070296 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 352056949 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 220 FEDERAL DRIVE N W CITY: CORYDON STATE: IN ZIP: 47112 BUSINESS PHONE: 8127382198 MAIL ADDRESS: STREET 1: 220 FEDERAL DRIVE N W CITY: CORYDON STATE: IN ZIP: 47112 4 1 shi128.xml X0202 4 2004-05-11 0 0001070296 FIRST CAPITAL INC (FCAP) 0001204230 SHIREMAN MARK D 220 FEDERAL DRIVE CORYDON IN 47115 1 0 0 0 Common Stock 2004-05-11 4 P 0 300 23.50 A 21322.0000 D Common Stock 2004-05-12 4 P 0 409 23.50 A 21731.0000 D Common Stock 5231.0000 I By IRA Common Stock 250.0000 I By Son I Common Stock 250.0000 I By Son II Common Stock 4000.0000 I By Spouse Common Stock 2000.0000 I By Spouse IRA Common Stock 307.0000 I By Stock Award Incentive Stock Option (right to buy) 11.00 2001-02-14 2010-02-14 Common Stock 1400 1400 D Stock Awards granted pursuant to the First Capital, Inc. 1999 Stock-Based Incentive Plan will fully vest on January 12, 2005. Options will become fully vested and exercisable on February 14, 2005. By: Samuel E. Uhl, Power of Attorney 2004-05-12 -----END PRIVACY-ENHANCED MESSAGE-----