FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
FIRST NORTHERN COMMUNITY BANCORP [ FNRN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 05/11/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 05/11/2005 | M(1) | 10,302 | A | $17.75 | 20,604 | D | |||
Common Stock | 05/11/2005 | M(1) | 68 | A | $17.75 | 136 | I | ACF Jonathan Walker U/CA/UTMA | ||
Common Stock | 05/11/2005 | M(1) | 39,951 | A | $17.75 | 79,902 | I | One of three Trustees of FNBank of Dixon Profit Sharing Plan | ||
Common Stock | 05/11/2005 | M(1) | 50 | A | $17.75 | 100 | I | ACF Steven Walker U/CA/UTMA | ||
Common Stock | 05/11/2005 | M(1) | 13 | A | $17.75 | 26 | I | ACF James Robinson U/CA/UTMA |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock | $4.77(2) | 05/11/2005 | M | 10,114(2) | (4) | 03/06/2008 | Common Stock | 10,114 | $4.77 | 10,114 | D | ||||
Common Stock | $4.53(3) | 05/11/2005 | M | 17,868(3) | (4) | 01/03/2010 | Common Stock | 17,868 | $4.53 | 27,982 | D | ||||
Common Stock | $4.78(5) | 05/11/2005 | M | 22,690(5) | (4) | 01/03/2010 | Common Stock | 22,690 | $4.78 | 50,672 | D | ||||
Common Stock | $6.35(6) | 05/11/2005 | M | 32,112(6) | (4) | 01/02/2011 | Common Stock | 32,112 | $6.35 | 82,784 | D | ||||
Common Stock | $10.3(7) | 05/11/2005 | M | 22,722(7) | (4) | 01/02/2012 | Common Stock | 22,722 | $10.3 | 105,506 | D | ||||
Common Stock | $9.87(8) | 05/11/2005 | M | 16,672(8) | (4) | 01/08/2013 | Common Stock | 16,672 | $9.87 | 122,178 | D | ||||
Common Stock | $11.68(10) | 05/11/2005 | M | 14,606(10) | (9) | 01/06/2015 | Common Stock | 14,606 | $11.68 | 136,784 | D | ||||
Common Stock | $13.66(11) | 05/11/2005 | M | 13,780(11) | (9) | 01/06/2015 | Common Setock | 13,780 | $13.66 | 150,564 | D |
Explanation of Responses: |
1. On May 11, 2005 the Common Stock of First Northern Community Bancorp Split 2 for 1, resulting in reporting person's shares in each account doubling. |
2. This option was previously reported as covering 5,057 shares at an exercise price of $9.53 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
3. This option was previously reported as covering 8,934 shares at an exercise price of $9.06 due to the May 11, 2005 2 for 1 stock slplit these amounts were adjusted. |
4. Stock Options Granted vest 20% upon their grant and 20% annually over 4 years. |
5. This option was previously reported as covering 11,345 shares at an exercise price of $9.56 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
6. This option was previously reported as covering 16,056 shares at an exercise price of $12.70 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
7. This option was previously reported as covering 11,361 shares at an exercise price of $20.59 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
8. This option was previously reported as covering 8,336 shares at an exercise price of $19.74 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
9. Stock Options Granted vest 0% upon their grant and 25% annually over 4 years. |
10. This option was previously reported as covering 7,303 shares at an exercise price of $23.36 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
11. This option was previously reported as covering 6,890 shares at an exercise price of $27.31 due to the May 11, 2005 2 for 1 stock split these amounts were adjusted. |
Remarks: |
Lynn Campbell, AVP/Corporate Secretary w/POA | 05/13/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |