-----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, WvvPgeonh+dv7Aq66sXRfO63HNeRfAkNO+Wgv3JZ5ThyoROmi9kEI5/yWhzuDDuz aCr5hLIWn7/6GAZND6T1pA== 0000721994-04-000075.txt : 20040428 0000721994-04-000075.hdr.sgml : 20040428 20040428160050 ACCESSION NUMBER: 0000721994-04-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040428 FILED AS OF DATE: 20040428 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: FULMER L CRAIG CENTRAL INDEX KEY: 0001189383 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 04760640 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: 120 W. LEXINGTON CITY: ELKHART STATE: IN ZIP: 46516 4 1 c0001189383d20040428f4f.xml PRIMARY DOCUMENT X0202 4 2004-04-28 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189383 FULMER L CRAIG 120 W. LEXINGTON, SUITE 310 ELKHART IN 46516 1 0 0 0 Stock Options (Right to buy) 13.5 2005-06-13 2010-06-13 Common Stock 500 500 D Stock Options (Right to buy) 13.625 2006-01-09 2011-01-09 Common Stock 1000 1000 D Stock Options (Right to buy) 15.125 2005-02-08 2010-02-08 Common Stock 600 600 D Stock Options (Right to buy) 19.4375 2004-02-09 2009-02-09 Common Stock 575 575 D Stock Options (Right to buy) 28 2003-05-12 2008-05-10 Common Stock 925 925 D Stock Options (Right to buy) 34.37 2008-12-09 2013-12-09 Common Stock 500 500 D Phantom Stock 0 2003-01-01 2003-01-01 Common Stock 4775.6 4775.6 D Phantom Stock 0 2003-01-07 2013-01-07 Common Stock 398.6 398.6 D Phantom Stock 0 2003-01-28 2013-01-28 Common Stock 37.4 37.4 D Phantom Stock 0 2003-04-28 2013-04-28 Common Stock 37.4 37.4 D Phantom Stock 0 2003-07-10 2013-07-10 Common Stock 261.5 261.5 D Phantom Stock 0 2003-07-30 2013-07-30 Common Stock 31.5 31.5 D Phantom Stock 0 2003-10-27 2013-10-27 Common Stock 30 30 D Phantom Stock 0 2004-01-16 2014-01-16 Common Stock 299 299 D Phantom Stock 0 2004-01-26 2014-01-26 Common Stock 28 28 D Phantom Stock 0 2004-04-28 4 A 0 37 33.33 A 2004-04-28 2014-04-28 Common Stock 37 37 D Each 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-Fact 2004-04-28 -----END PRIVACY-ENHANCED MESSAGE-----