-----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, IYeezcjh37vG8lpXobSaH3e7I+GYXm06oV+Oahw7t/bUZ6xnqYqurF13pWao+8qG 1fogeYWvkZ6nUNwtkKTp1g== 0000721994-04-000012.txt : 20040116 0000721994-04-000012.hdr.sgml : 20040116 20040116160715 ACCESSION NUMBER: 0000721994-04-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040116 FILED AS OF DATE: 20040116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND FINANCIAL CORP CENTRAL INDEX KEY: 0000721994 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351559596 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 202 E CENTER ST STREET 2: P O BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 5742676144 MAIL ADDRESS: STREET 1: 202 E CENTER ST STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NIEMIER CHARLES E CENTRAL INDEX KEY: 0001189194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 04529881 BUSINESS ADDRESS: STREET 1: P O BOX 587 CITY: WARSAW STATE: IN ZIP: 46581-0587 BUSINESS PHONE: 5742676639 MAIL ADDRESS: STREET 1: P O BOX 587 CITY: WARSAW STATE: IN ZIP: 46581-0587 4 1 c0001189194d20040116f4f.xml PRIMARY DOCUMENT X0201 42004-01-1600000721994LAKELAND FINANCIAL CORP LKFN0001189194NIEMIER CHARLES E1600 S. MEADOW DR.WARSAWIN465801000Stock Options (Right to buy)13.52005-06-132010-06-13Common Stock500500DStock Options (Right to buy)13.6252006-01-092011-01-09Common Stock10001000DStock Options (Right to buy)15.1252005-02-082010-02-08Common Stock600600DStock Options (Right to buy)19.43752004-02-092009-02-09Common Stock575575DStock Options (Right to buy)34.372008-12-092013-12-09Common Stock500500DPhantom Stock02003-01-012003-01-01Common Stock3038.13038.1DPhantom Stock02003-01-072013-01-07Common Stock297.4297.4DPhantom Stock02003-01-282013-01-28Common Stock24.124.1DPhantom Stock02003-04-282013-04-28Common Stock23.423.4DPhantom Stock02003-07-102013-07-10Common Stock238238DPhantom Stock02003-07-302013-07-30Common Stock2020DPhantom Stock02003-10-272013-10-27Common Stock2020D< /directOrIndirectOwnership>Phantom Stock02004-01-164A024136.3A2004-01-162014-01-16Common Stock241241DEach phantom stock unit exersises into 1 share of Common Stock.Phantom stock is exercisable after the directors' retirement as a Board member.Phantom shares expire after the directors' retirement as a Board member.Teresa A. Bartman, Attorney-in-Fact2004-01-16 -----END PRIVACY-ENHANCED MESSAGE-----