4 1 ptt4011603.txt FORM 4 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 01/16/2003 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 01/14/03 M 2,925 A $7.719 24,473 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 Non-Qualified Stock Option $7.719 01/14/03 M 2,925 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 Common Stock 4,930 4,930 D Direct Non-Qualified Stock Option 01/14/03 Common Stock 2,925 0 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:
SIGNATURE OF REPORTING PERSON /S/ By: Gary L. Kriechbaum For: Paul T. Theisen DATE 01/16/03