4 1 a2100117z4.htm FORM 4

    FORM 4

o Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

(Print or Type Responses)
  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,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
 
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1.   Name and Address of Reporting Person*   2.   Issuer Name and Ticker or Trading Symbol   6.   Relationship of Reporting Person(s) to Issuer
(Check all applicable)
    Cheatham,   J.   Douglas       Old Second Bancorp Inc./OSBC                Director            10% Owner

 
           
    (Last)   (First)   (Middle)   3.   I.R.S. Identification Number of Reporting Person, if an entity (voluntary)   4.   Statement for
Month/Day/Year
        X   Officer
        (give title below)
           Other
        (specify below)
    C/O Old Second National Bank
37 South River Street
              12-31-02       Executive Officer—CFO

 
 
     
(Street)           5.   If Amendment, Date of Original (Month/Day/Year)   7.   Individual or Joint/Group Filing
(Check Applicable Line)
  X   Form filed by One Reporting Person
         Form filed by More than
    Aurora,   IL   60506                                   One Reporting Person

    (City)   (State)   (Zip)                            
                Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.   Title of Security
(Instr. 3)
  2.   Transaction Date   2A.   Deemed Execution Date, if any   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)
            (Month/Day/Year)   (Month/Day/Year)  
                       
Old Second Bancorp Inc.                       Code   V       Amount   (A) or (D)   Price                        

    Common Stock       12-31-02               J   V       34   A   *       735*       I       401(k) Plan

    Common Stock       12-31-02               J   V       3   A   **       601**       I       Pr.Sh.Plan

    Common Stock                                                   666       D        

                                                                         

                                                                         

                                                                         

*Of this total, 34 shares were allocated during the fourth quarter pursuant to The Old Second Bancorp Inc. Salary Savings Plan & Trust. Information provided is based on information provided by the Plan Trustee as of 12-31-02.
**Of this total 3 shares were allocated during the fourth quarter pursuant to The Old Second Bancorp Inc. Employees Profit Sharing Plan & Trust.
Information provided herein is based on information provided by the Plan Trustee as of 12-31-02.
(over)                                                                  

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

FORM 4 (Continued)   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)
                               
 
Old Second Bancorp Inc.                               Code   V       (A)   (D)       Date
Exercisable
  Expiration Date

Phantom Stock       1 for 1       12-31-02               A   V       2*         N/A   N/A

Employee Stock Option
(Right to buy)
      $37.61                                               12-17-03   12-17-12

Employee Stock Option
(Right to buy)
      $17.82-Restated                                       12-19-02   12-19-10

Employee Stock Option
(Right to buy)
      $20.91-Restated                                       12-14-00   12-14-09

Employee Stock Option
(Right to buy)
      $29.49-Restated                                       12-18-02   12-18-11

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 


7.   Title and Amount of Underlying Securities
(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 of Derivative Securities: Direct (D) or Indirect (I) (Instr. 4)   11.   Nature of Indirect Beneficial Ownership
(Instr. 4)
   
                               
    Title   Amount or Number of Shares                                

    Common Stock   2               323       D        

    Common Stock   6,000)                       D        

    Common Stock   4,000)                                

    Common Stock   2,500) Restated for 4 for 3 stock split effected        

    Common Stock   4,500) June 24, 2002—14,667 shares        

    Total Options               20,667       D        

                                         

                                         

                                         

                                         

Explanation of Responses:
* These shares represent stock purchased 9-30-02 - 12-31-02 in the Phantom Stock Plan for Deferred Directors' Fees.
This Plan commenced on 4-2-01.

/s/ J. DOUGLAS CHEATHAM   12-31-02

**Signature of Reporting Person
 
Date

Reminder:

 

Report on a separate line for each class of securities beneficially owned directly or indirectly.

**

 

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.

http://www.sec.gov/divisions/corpfin/forms/form4.htm
Last update: 09/05/2002