-----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, J9SpceAH44QOMeRbk33Pakd4WQUhNQB64k1v2f8rdaGUvP0YcHbel6I+BHWFSA2D fH0MrHK+G2fVEWqiDLIN8Q== 0001248644-05-000001.txt : 20050422 0001248644-05-000001.hdr.sgml : 20050422 20050422114555 ACCESSION NUMBER: 0001248644-05-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050422 FILED AS OF DATE: 20050422 DATE AS OF CHANGE: 20050422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MESTAD ORVILLE L CENTRAL INDEX KEY: 0001248644 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11337 FILM NUMBER: 05766468 MAIL ADDRESS: STREET 1: 1144 INDIAN SPRINGS DRIVE STREET 2: C/O FOOTHILL INDEPENDENT BANCORP CITY: GLENDORA STATE: CA ZIP: 91740 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOOTHILL INDEPENDENT BANCORP CENTRAL INDEX KEY: 0000718903 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 953815805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 510 S GRAND AVE CITY: GLENDORA STATE: CA ZIP: 91741 BUSINESS PHONE: 9095999351 MAIL ADDRESS: STREET 1: 510 S GRAND AVE CITY: GLENDORA STATE: CA ZIP: 91741 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-04-22 0000718903 FOOTHILL INDEPENDENT BANCORP FOOT 0001248644 MESTAD ORVILLE L C/O FOOTHILL INDEPENDENT BANK 510 S. GRAND AVENUE GLENDORA CA 91741 1 0 0 0 Common Stock 2005-04-21 4 F 0 655 25.17 D 233524 I Family Trust Common Stock 2005-04-21 4 M 0 3535 4.6676 A 237059 I Family Trust Common Stock 11433 D Non-qualified Stock Option (right to buy) 4.6676 2005-04-21 4 X 0 3535 0 D 1996-04-30 2005-04-30 Common Stock 3535 0 I Family Trust The exercises prices of the options and the share figures have been adjusted for Issuer stock dividends issued after the grant of the options and issuance of such shares, including a stock dividend that was issued in January 2004. As indicated, 3,535 shares were acquired on exercise of non-qualified stock options and the exercise price of those option was paid by surrender to the Issuer of a total of 655 already owned shares for cancellation. /c/Orville L. Mestad by Carol Ann Graf, per Power of Attorney signed 8/20/02 and on file with the SEC 2005-04-22 -----END PRIVACY-ENHANCED MESSAGE-----