-----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, UeY5gjp4KqSDRzFuTfpWEy6fjuBwWb+LKFNlQ9gpZG9nRv9QuHmzVWGLNqUxSeNy CaeUzpe0mP6oHhJYJ8BA8w== 0000891836-97-000292.txt : 19970620 0000891836-97-000292.hdr.sgml : 19970620 ACCESSION NUMBER: 0000891836-97-000292 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970610 FILED AS OF DATE: 19970619 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: JEFFERSON BANKSHARES INC CENTRAL INDEX KEY: 0000311100 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 541104491 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-09101 FILM NUMBER: 97626554 BUSINESS ADDRESS: STREET 1: 123 E MAIN ST STREET 2: P O BOX 711 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 BUSINESS PHONE: 8049721100 MAIL ADDRESS: STREET 1: 123 E MAIN ST STREET 2: P O BOX 711 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 COMPANY DATA: COMPANY CONFORMED NAME: WACHOVIA CORP/ NC CENTRAL INDEX KEY: 0000774203 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] OWNER IRS NUMBER: 561473727 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 100 NORTH MAIN ST CITY: WINSTON SALEM STATE: NC ZIP: 27101 BUSINESS PHONE: 9197705000 MAIL ADDRESS: STREET 1: 100 NORTH MAIN ST CITY: WINSTON SALEM STATE: NC ZIP: 27101 FORMER COMPANY: FORMER CONFORMED NAME: FIRST WACHOVIA CORP DATE OF NAME CHANGE: 19910603 3 1 FORM 3 FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB APPROVAL OMB Number 3235-0104 Expires: April 30, 1997 Estimated average burden hours per response ......0.5 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Wachovia Corporation (Last) (First) (Middle) 100 North Main Street (Street) Winston-Salem NC 27101 (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) 6/10/97 3. IRS or Social Security Number of Reporting Person (Voluntary) 56-1473727 4. Issuer Name and Ticker or Trading Symbol Jefferson Bankshares, Inc. (JBNK) 5. Relationship of Reporting Person to Issuer (Check all applicable) ____ Director /X/ 10% Owner ____ Officer (give title below) ____ Other (specify below) ____________________________________________________________ 6. If Amendment, Date of Original (Month/Day/Year) N/A TABLE I -- Non-Derivative Securities Beneficially owned
1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial Ownership (Instr. 4) Indirect (I) (Instr. 5) (Instr. 5)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) SEC 1473 (3/91) FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of 2. Date Exercisable 3. Title and Amount 4. Conversion or 5. Ownership 6. Nature of Derivative and Expiration of Securities Exercise Price Form of Indirect Security Date (Month/Day/ Underlying of Derivative Derivative Beneficial (Instr. 4) Year) Derivative Security Security: Ownership Security Direct (D) or (Instr. 5) (Instr. 4) Indirect (I) (Instr. 5) Date Expira- Amount or Exer- tion Title Number of cisable Date Shares Option to purchase + + Jefferson Jefferson Bankshares, Bankshares, Inc. 2,770,000 ++ D Inc. Common Stock+ Common Stock
Explanation of Reponses: + Beneficial ownership of 2,770,000 shares reported hereunder is being reported solely as a result of the Stock Option Agreement, dated as of June 10, 1997 (the "Stock Option Agreement"), by and between Wachovia Corporation and Jefferson Bankshares, Inc. The option may be exercised, in whole or in part, only upon certain events (none of which, as of the date hereof, has occurred), as set forth in the Stock Option Agreement. The option expires upon certain events, as set forth in the Stock Option Agreement. The option granted pursuant to the Stock Option Agreement has not yet become exercisable. Wachovia expressly disclaims ownership of such shares. ++ A price per share equal to the average of last reported sale prices per share of Common Stock as reported on the NASDAQ National Market System on June 6 and 9, 1997; provided, however, that in the event Jefferson Bankshares, Inc. issues or agrees to issue any shares of Common Stock at a price less than such average price per share (subject to certain exceptions), such price shall be equal to such lesser price. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Kenneth W. McAllister June 19, 1997 ** Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Page 2 SEC 1473 (3/91) -----END PRIVACY-ENHANCED MESSAGE-----