-----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, LBbrZdcZ0LVK+khvCBWtNbNYbnlGKIGfyExYOwG5h7iUGJ36Fuu2TELS/NmyyNnl +9pL0NQ1qBGqJ//oIWuNJA== 0000318300-01-500014.txt : 20010214 0000318300-01-500014.hdr.sgml : 20010214 ACCESSION NUMBER: 0000318300-01-500014 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PEOPLES BANCORP INC CENTRAL INDEX KEY: 0000318300 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 310987416 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-16772 FILM NUMBER: 1535477 BUSINESS ADDRESS: STREET 1: 138 PUTNAM ST STREET 2: P O BOX 738 CITY: MARIETTA STATE: OH ZIP: 45750 BUSINESS PHONE: 7403733155 COMPANY DATA: COMPANY CONFORMED NAME: EVANS ROBERT E CENTRAL INDEX KEY: 0001021208 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: PEOPLES BANCORP INC LEGAL DEPARTMENT STREET 2: P O BOX 738 CITY: MARIETTA STATE: OH ZIP: 45750-0738 BUSINESS PHONE: 6143746136 MAIL ADDRESS: STREET 1: PEOPLES BANCORP INC LEGAL DEPARTMENT STREET 2: P O BOX 738 CITY: MARIETTA STATE: OH ZIP: 45750-0738 5 1 ree5_01.txt FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. [ ] Form 3 Holdings Reported [X] Form 4 Transactions Reported 1. Name and Address of Reporting Person(s) Evans, Robert E. 138 Putnam Street P.O. Box 738 Marietta, OH 45750-0738 2. Issuer Name and Ticker or Trading Symbol Peoples Bancorp Inc. (PEBO) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 12/00 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) President Chief Executive Officer 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code Amount D Price End of Year I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 07/06/00 P 4 100 A $13.25 99,361 D Direct Common Stock 26,926 I 401(k) Plan Common Stock 20,009 I by Spouse Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Deferred Compensation 12/31/00 (1) 1,402 Incentive Stock Option (right $7.97 11/20/93 05/20/03 to buy) Incentive Stock Option (right $10.65 11/10/96 11/10/04 to buy) Incentive Stock Option (right $17.25 04/27/10 to buy) Incentive Stock Option (right $18.95 04/01/04 04/01/09 to buy) Incentive Stock Option (right $21.07 12/10/00 12/10/08 to buy) Incentive Stock Option (right $23.76 07/23/00 07/23/08 to buy) Incentive Stock Option (right $24.11 01/01/00 12/03/07 to buy) Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Year - ------------------------------------------------------------------------------------------------------------------------------------ Deferred Compensation 12/31/00 Common Stock 1,402 (2) 8,184 D Direct (1) Incentive Stock Option (right Common Stock 8,784 8,784 D Direct to buy) Incentive Stock Option (right Common Stock 30,746 30,746 D Direct to buy) Incentive Stock Option (right Common Stock 3,000 3,000 D Direct to buy) Incentive Stock Option (right Common Stock 6,352 6,352 D Direct to buy) Incentive Stock Option (right Common Stock 6,050 6,050 D Direct to buy) Incentive Stock Option (right Common Stock 1,305 1,305 D Direct to buy) Incentive Stock Option (right Common Stock 13,975 13,975 D Direct to buy) Explanation of Responses: (1) Aggregated annually. Allocated to Insider's account pursuant to the terms and conditions of the Peoples Bancorp Inc. Deferred Compe nsation Plan For Directors of Peoples Bancorp Inc. and Subsidiaries. (2) Price is determined pursuant to the terms and conditions of the Peoples Bancorp Inc. Deferred Compensation Plan For Directors of Peo ples Bancorp Inc. and Subsidiaries. - - On 4/13/00, a Non-Qualified Stock Option grant for 1,362 shares with an exercise price of $17.13 was entered into Mr. Evans' data re cords inadvertently. No such grant ever existed, and the entry has since been reversed.
SIGNATURE OF REPORTING PERSON /S/ Evans, Robert E. DATE 02/08/01 -----END PRIVACY-ENHANCED MESSAGE-----