-----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, Oso/CXWohLWu3wXxXRdlS66gZ5+VRsMVQijUGqH52Dj8ynioivW3UGRWBdok4JY/ Wg33QwKuzgpcK+DYsIK8lg== 0001185262-03-000002.txt : 20030502 0001185262-03-000002.hdr.sgml : 20030502 20030502094710 ACCESSION NUMBER: 0001185262-03-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030430 FILED AS OF DATE: 20030502 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: OLIVER MONTY J CENTRAL INDEX KEY: 0001185262 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O LEXINGTON STATE BANK STREET 2: 867 CITY: LEXINGTON STATE: NC ZIP: 27293 BUSINESS PHONE: 3362486500 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LSB BANCSHARES INC /NC/ CENTRAL INDEX KEY: 0000714530 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 561348147 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11448 FILM NUMBER: 03678199 BUSINESS ADDRESS: STREET 1: P O BOX 867 STREET 2: ONE LSB PLZ CITY: LEXINGTON STATE: NC ZIP: 27293-0867 BUSINESS PHONE: 9102486500 MAIL ADDRESS: STREET 1: P O BOX 867 CITY: LEXINGTON STATE: NC ZIP: 27293-0867 4 1 oliver52.txt 4 1 NASD 0001185262 Officer LSB BANCSHARES, INC. 0000714530 56-1348147 05/02/03 4 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) OLIVER, MONTY J. 203 Glenwood Dr. Lexington, NC 27292 2. Issuer Name and Ticker or Trading Symbol LSB BANCSHARES, INC. (LXBK) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Day/Year 5/2/03 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [X] Other (specify below) Secretary & Treasurer 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 04/30/03 M 7,812.0000 A $9.7280 29,255.0000 D Direct Common Stock 04/15/03 R 0.7611 A $16.4227 78.8729 I by Spouse 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 - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right $9.7280 04/30/03 M 7,812.0000 05/11/03 to buy) Incentive Stock Option (right $11.5200 05/04/05 to buy) Incentive Stock Option (right $12.8000 05/10/04 to buy) Incentive Stock Option (right $13.0000 05/24/06 to buy) Incentive Stock Option (right $13.5500 05/21/11 to buy) Incentive Stock Option (right $15.0630 05/09/10 to buy) Incentive Stock Option (right $15.2000 05/21/07 to buy) Incentive Stock Option (right $17.2400 05/30/12 to buy) Incentive Stock Option (right $20.0000 05/11/09 to buy) Incentive Stock Option (right $20.7500 06/09/08 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 - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right 04/30/03 Common Stock 7,812.0000 0.0000 D Direct to buy) Incentive Stock Option (right Common Stock 7,812.0000 7,812.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,312.0000 5,312.0000 D Direct to buy) Incentive Stock Option (right Common Stock 6,250.0000 6,250.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,000.0000 5,000.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,000.0000 5,000.0000 D Direct to buy) Incentive Stock Option (right Common Stock 6,250.0000 6,250.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,000.0000 5,000.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,000.0000 5,000.0000 D Direct to buy) Incentive Stock Option (right Common Stock 5,000.0000 5,000.0000 D Direct to buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ OLIVER, MONTY J. DATE 05/02/03 -----END PRIVACY-ENHANCED MESSAGE-----