5 1 cbj5.txt PERIOD END 12/31/01 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 [ ] Form 4 Transactions Reported 1. Name and Address of Reporting Person(s) Baker, Jr., Carl 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 12/01 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) Director 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 33,596 I As Beneficiary Common Stock 7,384 D Direct Common Stock 6,012 I As Trustee Common Stock 5,500 I by Corporation 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 12/31/01 (1) A 6 (2) Non-Qualified Stock Option $8.488 04/06/97 04/06/03 (right to buy) Non-Qualified Stock Option $9.314 10/04/95 04/04/05 (right to buy) Non-Qualified Stock Option $9.727 02/08/99 02/08/05 (right to buy) Non-Qualified Stock Option $13.711 01/23/07 (right to buy) Non-Qualified Stock Option $15.281 10/10/97 04/10/07 (right to buy) Non-Qualified Stock Option $15.573 04/13/00 04/13/10 (right to buy) Non-Qualified Stock Option $15.702 02/01/00 02/01/10 (right 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 12/31/01 Common Stock 6 (3) 196 D Direct (1) Non-Qualified Stock Option Common Stock 1,207 1,207 D Direct (right to buy) Non-Qualified Stock Option Common Stock 908 908 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,207 1,207 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,207 1,207 D Direct (right to buy) Non-Qualified Stock Option Common Stock 908 908 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,498 1,498 D Direct (right to buy) Non-Qualified Stock Option Common Stock 375 375 D Direct (right 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) Shares are payable subsequent to termination of service pursuant to the terms and conditions of the Peoples Bancorp Inc. Deferred Co mpensation Plan For Directors of Peoples Bancorp Inc. and Subsidiaries. (3) 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.
SIGNATURE OF REPORTING PERSON /S/ Baker, Jr., Carl DATE 02/14/02