-----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, FO6hMzdvkkfxdSGSOqbRV4xJsoLb045g0NPtYrjzb551FoxN+m+HadbXW0eEI8t3 cGnUB3cyslMJPbMClWhncw== 0000721994-04-000160.txt : 20041216 0000721994-04-000160.hdr.sgml : 20041216 20041216115432 ACCESSION NUMBER: 0000721994-04-000160 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041215 FILED AS OF DATE: 20041216 DATE AS OF CHANGE: 20041216 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: NOWAK JAMES J CENTRAL INDEX KEY: 0001189390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 041207026 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: 2227 S. COUNTRY CLUB RD CITY: WARSAW STATE: IN ZIP: 46580 4 1 c0001189390d20041216f4f.xml PRIMARY DOCUMENT X0202 4 2004-12-15 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189390 NOWAK JAMES J 2227 S COUNTRY CLUB RD. WARSAW IN 46580 0 1 0 0 Vice President & Treasurer Common Stock 641 D Common Stock 2004-12-15 4 S 0 299.252 40.1 D 408.879 I 401(k) Plan Common Stock 2004-12-15 4 J 0 139.388 33.923 A 548.267 I 401(k) Plan Stock Options (Right to buy) 13.5 2005-06-13 2010-06-13 Common Stock 1000 1000 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 1000 1000 D Stock Options (Right to buy) 19.4375 2004-02-09 2009-02-09 Common Stock 1000 1000 D Salary redirection to 401(k) YTD 2004. Teresa A. Bartman, Attorney-in-Fact 2004-12-16 -----END PRIVACY-ENHANCED MESSAGE-----