-----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, K1YbA/UncU5ogN/weOx5e5u68FQ6g3Arj5QPtQ4PjMZALpMyKEipIZAWsFkKkirw ebCyHzRCZBckJLBt4KYB6A== 0000854560-05-000018.txt : 20050211 0000854560-05-000018.hdr.sgml : 20050211 20050211185414 ACCESSION NUMBER: 0000854560-05-000018 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050211 DATE AS OF CHANGE: 20050211 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GREAT SOUTHERN BANCORP INC CENTRAL INDEX KEY: 0000854560 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 431524856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1451 E BATTLEFIELD CITY: SPRINGFIELD STATE: MO ZIP: 65804 BUSINESS PHONE: 4177764400 MAIL ADDRESS: STREET 1: P O BOX 9009 STREET 2: P O BOX 9009 CITY: SPRINGFIELD STATE: MO ZIP: 65808-9009 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MITCHEM STEVEN G CENTRAL INDEX KEY: 0001044053 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18082 FILM NUMBER: 05601203 BUSINESS ADDRESS: STREET 1: 1451 E BATTLEFIELD CITY: SPRINGFIELD STATE: MO ZIP: 65804 BUSINESS PHONE: 4178874400 MAIL ADDRESS: STREET 2: P O BOX 9009 CITY: SPRINGFIELD STATE: MO ZIP: 65808-9009 5 1 primary_doc.xml PRIMARY DOCUMENT X0202 5 2004-12-31 0 0 0 0000854560 GREAT SOUTHERN BANCORP INC GSBC 0001044053 MITCHEM STEVEN G P O BOX 9009 SPRINGFIELD MO 65808-9009 0 0 0 1 Senior VP of Subsidiary Common stock 70532 D Option to purchase 12.9688 2008-04-15 Common stock 1200 1200 D Option to purchase 11.8908 2009-01-20 Common stock 1200 2400 D Option to purchase 7.922 2010-09-20 Common stock 5000 7400 D Option to purchase 12.8975 2011-09-24 Common stock 6000 13400 D Option to purchase 18.1875 2012-09-18 Common stock 6000 19400 D Option to purchase 20.12 2013-09-25 Common stock 7000 26400 D Option to purchase 32.07 2014-09-22 Common stock 5250 31650 D 600 shares vested on 4/15/2002 600 shares vested on 4/15/2003 600 shares vested on 1/20/2003 600 shares vested on 1/20/2004 1,250 shares vested on 9/20/2002 1,250 shares vested on 9/20/2003 1,250 shares vested on 9/20/2004 1,250 shares vest on 9/20/2005 1,500 shares vested on 9/24/2003 1,500 shares vested on 9/24/2004 1,500 shares vest on 9/24/2005 1,500 shares vest on 9/24/2006 1,500 shares vested on 9/18/2004 1,500 shares vest on 9/18/2005 1,500 shares vest on 9/18/2006 1,500 shares vest on 9/18/2007 1,750 shares vest on 9/25/2005 1,750 shares vest on 9/25/2006 1,750 shares vest on 9/25/2007 1,750 shares vest on 9/25/2008 1,313 shares vest on 9/22/2006 1,313 shares vest on 9/22/2007 1,312 shares vest on 9/22/2008 1,312 shares vest on 9/22/2009 Matt Snyder, Attorney-in-fact for Steven G. Mitchem 2005-02-11 -----END PRIVACY-ENHANCED MESSAGE-----