-----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, K71KMmCc6PuFHcjcpzFJ5FppyJGCZHL8BpP53ySj5QafBdUpoaEg4LhMXYDEysYm FOKNzxpzjfh3ApVls1UYBw== 0000854560-00-000019.txt : 20000307 0000854560-00-000019.hdr.sgml : 20000307 ACCESSION NUMBER: 0000854560-00-000019 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000229 FILED AS OF DATE: 20000306 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GREAT SOUTHERN BANCORP INC CENTRAL INDEX KEY: 0000854560 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 431524856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-18082 FILM NUMBER: 561311 BUSINESS ADDRESS: STREET 1: 1451 E BATTLEFIELD CITY: SPRINGFIELD STATE: MO ZIP: 65804 BUSINESS PHONE: 4178874400 MAIL ADDRESS: STREET 1: P O BOX 9009 STREET 2: P O BOX 9009 CITY: SPRINGFIELD STATE: MO ZIP: 65808-9009 COMPANY DATA: COMPANY CONFORMED NAME: MARRS DOUGLAS W CENTRAL INDEX KEY: 0001108324 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 111 W NORTHVIEW CITY: NISA STATE: MO ZIP: 65714 BUSINESS PHONE: 4178874400 MAIL ADDRESS: STREET 1: 1451 E BATTLEFIELD CITY: REPUBLIC STATE: MO ZIP: 65738 3 1 ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0104 Expires: April 30, 1999 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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* MARRS DOUGLAS W. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 111 W. NORTHVIEW - -------------------------------------------------------------------------------- (Street) NIXA MISSOURI 65714 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 02/16/2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol GREAT SOUTHERN BANCORP, INC. (GSBC) ================================================================================ 5. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) VICE PRESIDENT -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/Year) ================================================================================ 7. Individual or Joint/Group Filing (Check applicable line) [ X ] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person
Table I -- Non-Derivative Securities Beneficially Owned - ---------------------------------------------------------------------------------------------------------------------------------- 1.Title of Security | 2.Amount of Securities | 3.Ownership | 4.Nature of Indirect Beneficial (Instr. 4) | Beneficially Owned | Form:Direct | Ownership | (Instr 4) | (D) or Indirect| (Instr. 5) | | (I) (Instr. 5) | | | | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Common Stock, $0.01 par value | | | | 500 | D | - ---------------------------------------------------------------------------------------------------------------------------------- Common Stock, $0.01 par value | | | | 500 | D | - ---------------------------------------------------------------------------------------------------------------------------------- Common Stock, $0.01 par value | | | | 55.9273 | D | - ---------------------------------------------------------------------------------------------------------------------------------- Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative Security |2. Date Exercisable |3.Title and Amount of |4. Conver- |5.Owner- |6.Nature of Indirect (Instr. 4) | and | Securities Underlying| sion or | ship | Beneficial Ownership | Expiration Date | Derivative Security- | Exercise| Form of | (Instr.5) | (Month/Day/Year) | (Instr. 4) | Price of| Deriv- | | | | Deri- | ative | | | | vative | Security:| | | | Security| Direct | |---------------------------------------------| | (D) or | |Date |Expira- | Title |Amount or| | Indirect | |Exer- |tion | |Number of| | (I) | |cisable | Date | | Shares | | (Instr.5)| | | | | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |05/15/2000|05/15/2006| Common | 500 | $13.195 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase |05/15/2001|05/15/2006| Common | 500 | $13.195 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase |04/22/2000|04/22/2008| Common | 187.50 | $25.9375 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |04/22/2001|04/22/2008| Common | 187.50 | $25.9375 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase |04/22/2002|04/22/2008| Common | 187.50 | $25.9375 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase |04/22/2003|04/22/2008| Common | 187.50 | $25.9375 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |03/19/2001|03/19/2009| Common | 250 | $24.094 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |03/19/2002|03/19/2009| Common | 250 | $24.094 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |03/19/2003|03/19/2009| Common | 250 | $24.094 | D | | | | Stock | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Option (to purchase) |03/19/2004|03/19/2009| Common | 250 | $24.094 | D | | | | Stock | | | | - ----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: /s/ Douglas W. Marrs 03/03/2000 - -------------------------------------------- ---------- Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----