-----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, DWB/pHKXbnkUtW+0QEQR0T3ohOeoVTHdA/IcLJ8U9NRQe2K5z0fACG1+L3T7ufFR lxSo5fopQUBX7FtV16bgww== 0000318300-03-000005.txt : 20030103 0000318300-03-000005.hdr.sgml : 20030103 20030103153543 ACCESSION NUMBER: 0000318300-03-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030103 FILED AS OF DATE: 20030103 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16772 FILM NUMBER: 03503055 BUSINESS ADDRESS: STREET 1: 138 PUTNAM ST STREET 2: P O BOX 738 CITY: MARIETTA STATE: OH ZIP: 45750-0738 BUSINESS PHONE: 7403733155 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: THEISEN PAUL T CENTRAL INDEX KEY: 0001021205 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 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 4 1 ptt40103.txt FORM 4 DEFERRED COMPENSATION PTHEISEN UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 1. Name and Address of Reporting Person(s) Theisen, Paul T. 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/Day/Year 01/03/2003 5. If Amendment, Date of Original (Month/Day/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 V Amount D Price End of Month I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 21,548 D Direct Table II (PART 1) Derivative Securities 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 V A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Deferred Compensation 01/01/03 A 29 (1) Non-Qualified Stock Option $7.716 04/06/03 (right to buy) Non-Qualified Stock Option $8.467 04/04/05 (right to buy) Non-Qualified Stock Option $13.892 04/10/07 (right to buy) Non-Qualified Stock Option $14.157 04/13/10 (right to buy) Non-Qualified Stock Option $22.367 04/09/98 04/09/08 (right to buy) Non-Qualified Stock Option $25.760 04/11/12 (right to buy) Table II (PART 2) Derivative Securities 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 Month - ------------------------------------------------------------------------------------------------------------------------------------ Deferred Compensation 01/01/03 Common Stock 29 $25.600 4,930 D Direct Non-Qualified Stock Option Common Stock 2,923 2,923 D Direct (right to buy) Non-Qualified Stock Option Common Stock 4,917 4,917 D Direct (right to buy) Non-Qualified Stock Option Common Stock 3,269 3,269 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,648 1,648 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,647 1,647 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,100 1,100 D Direct (right to buy) Explanation of Responses: (1) 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.
SIGNATURE OF REPORTING PERSON /S/ By: Gary L. Kriechbaum For: Paul T. Theisen DATE 01/03/03 -----END PRIVACY-ENHANCED MESSAGE-----