-----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, IdT/3QAfobYQhyxs9q1JTnV3CnLcI+YUopJpupi/m27GLTdIwcaFC4IpN+Q+U3OB u8oogkhdsPvQWMu9yMLqtw== 0000721994-04-000047.txt : 20040205 0000721994-04-000047.hdr.sgml : 20040205 20040205092400 ACCESSION NUMBER: 0000721994-04-000047 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040205 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: SMITH CHARLES D CENTRAL INDEX KEY: 0001189416 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 04568624 BUSINESS ADDRESS: STREET 1: C/O LAKE CITY BANK STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 5742676144 MAIL ADDRESS: STREET 1: 1902 N. BAY DR. CITY: WARSAW STATE: IN ZIP: 46580 5 1 c0001189416d20040205f5f.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189416 SMITH CHARLES D 1902 N. BAY DRIVE WARSAW IN 46580 0 1 0 0 Executive Vice president Common Stock 2003-12-31 5 J 0 4.564 29.7243 A 220.119 D Common Stock 2003-12-31 5 J 0 1750.085 29.7243 A 31825.792 I 401(k) Plan Common Stock 2003-12-31 5 J 0 5.705 29.7243 A 278 I By Spouse Stock Options (Right to buy) 13.5 2005-06-13 2010-06-13 Common Stock 4000 4000 D Stock Options (Right to buy) 13.625 2006-01-09 2011-01-09 Common Stock 5000 5000 D Stock Options (Right to buy) 14.125 2005-05-09 2010-05-09 Common Stock 2000 2000 D Stock Options (Right to buy) 15.125 2005-02-08 2010-02-08 Common Stock 4000 4000 D Stock Options (Right to buy) 16.25 2006-12-11 2011-12-11 Common Stock 2000 2000 D Stock Options (Right to buy) 19.4375 2004-02-09 2009-02-09 Common Stock 4000 4000 D Stock Options (Right to buy) 24.375 2003-04-14 2008-04-12 Common Stock 4000 4000 D Stock Options (Right to buy) 34.37 2008-12-09 2013-12-09 Common Stock 5000 5000 D Dividend reinvestment for 2003. Salary redirection to 401(k) plan during 2003. Teresa A. Bartman, Attorney-in-Fact 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----