-----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, KDTJGZa9HSuzj1gFcXTdGCTFRaa3INkzgJHZpGSef/O69iwIfbpK0AbDNS1Gip9x oHbOV64h7xXxaD/YaFEhhw== 0000721994-04-000141.txt : 20041026 0000721994-04-000141.hdr.sgml : 20041026 20041026123101 ACCESSION NUMBER: 0000721994-04-000141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041026 FILED AS OF DATE: 20041026 DATE AS OF CHANGE: 20041026 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: WELCH M SCOTT CENTRAL INDEX KEY: 0001189422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 041095915 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: 6 LONGWOOD COURT CITY: ELKHART STATE: IN ZIP: 46516 4 1 c0001189422d20041026f4f.xml PRIMARY DOCUMENT X0202 4 2004-10-26 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189422 WELCH M SCOTT 6 LONGWOOD CT. 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) 34.37 2008-12-09 2013-12-09 Common Stock 500 500 D Phantom Stock 0 2003-01-01 2003-01-01 Common Stock 2084.9 2084.9 D Phantom Stock 0 2003-01-07 2013-01-07 Common Stock 297.3 297.3 D Phantom Stock 0 2003-01-28 2013-01-28 Common Stock 17.3 17.3 D Phantom Stock 0 2003-04-28 2013-04-28 Common Stock 16.5 16.5 D Phantom Stock 0 2003-07-10 2013-07-10 Common Stock 238 238 D Phantom Stock 0 2003-07-30 2013-07-30 Common Stock 14 14 D Phantom Stock 0 2003-10-27 2013-10-27 Common Stock 15 15 D Phantom Stock 0 2004-01-16 2014-01-16 Common Stock 233 233 D Phantom Stock 0 2004-01-26 2014-01-26 Common Stock 13 13 D Phantom Stock 0 2004-04-28 2014-04-28 Common Stock 19 19 D Phantom Stock 0 2004-07-14 2014-07-14 Common Stock 281 281 D Phantom Stock 0 2004-07-26 2014-07-26 Common Stock 20 20 D Phantom Stock 0 2004-10-26 4 A 0 19 35.3 A 2004-10-26 2014-10-26 Common Stock 19 19 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 2004-10-26 -----END PRIVACY-ENHANCED MESSAGE-----