-----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, KLz4vMuYL4MXCr7A/7Uul3l5v2XS+qVjhLCqd04VKt4u/hVmkHkQyPbIxgAJNtCU qhmGYDJPWUqnW6RLCgXP3A== 0001185267-03-000003.txt : 20030331 0001185267-03-000003.hdr.sgml : 20030331 20030331112459 ACCESSION NUMBER: 0001185267-03-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030331 FILED AS OF DATE: 20030331 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: TIMBERLAKE ROBERTS E CENTRAL INDEX KEY: 0001185267 RELATIONSHIP: DIRECTOR 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: 03627960 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 timberlakeamend.txt CHANGE IN BENEFICIAL OWNERSHIP 4/A 1 NASD 0001185267 Director LSB BANCSHARES, INC. 0000714530 56-1348147 03/26/03 4/A 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) TIMBERLAKE, ROBERTS E. 621 ROSEWOOD 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 3/26/03 5. If Amendment, Date of Original (Month/Day/Year) 03/26/03 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [X] Other (specify below) 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 10,275.5117 D Direct Common Stock 5,818.6911 I Deferred Trust Common Stock 03/26/03 S 1,821.0704 D $16.4338 4,713.0000 I by Self IRA Trust Common Stock 5,011.4540 I by Self LSB Trust Common Stock 2,224.7989 I by Spouse Common Stock 1,548.1390 I by Spouse IRA Tru st Common Stock 6,845.1493 I by Spouse LSB Tru st 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 - ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option $14.2500 04/18/06 (right to buy) Non-Qualified Stock Option $14.5630 04/19/05 (right to buy) Non-Qualified Stock Option $16.5700 04/17/07 (right to buy) Non-Qualified Stock Option $20.0000 04/21/04 (right to buy) Non-Qualified Stock Option $22.5000 04/15/03 (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 - ------------------------------------------------------------------------------------------------------------------------------------ Non-Qualified Stock Option Common Stock 625.0000 625.0000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 625.0000 625.0000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 625.0000 625.0000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 625.0000 625.0000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 625.0000 625.0000 D Direct (right to buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ TIMBERLAKE, ROBERTS E. DATE 03/31/03 -----END PRIVACY-ENHANCED MESSAGE-----