SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MITCHEM STEVEN G

(Last) (First) (Middle)
P O BOX 9009

(Street)
SPRINGFIELD MO 65808-9009

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
GREAT SOUTHERN BANCORP INC [ GSBC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP of Subsidiary
3. Date of Earliest Transaction (Month/Day/Year)
04/18/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Commons stock 04/18/2005 P 166 A $30.1781 70,698 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option to purchase $12.9688 (1) 04/15/2008 Common stock 1,200 1,200 D
Option to purchase $11.8908 (2) 01/20/2009 Common stock 1,200 2,400 D
Option to purchase $7.922 (3) 09/20/2010 Common stock 5,000 7,400 D
Option to purchase $12.8975 (4) 09/24/2011 Common stock 6,000 13,400 D
Option to purchase $18.1875 (5) 09/18/2012 Common stock 6,000 19,400 D
Option to purchase $20.12 (6) 09/25/2013 Common stock 7,000 26,400 D
Option to purchase $32.07 (7) 09/22/2014 Common stock 5,250 31,650 D
Explanation of Responses:
1. 600 shares vested on 4/15/2002 & 4/15/2003
2. 600 shares vested on 1/20/2003 & 1/20/2004
3. 1,250 shares vest on 9/20/2002, 9/20/2003, 9/20/2004 & 9/20/2005
4. 1,500 shares vest on 9/24/2003, 9/24/2004 9/24/2005 & 9/24/2006
5. 1,500 shares vest on 9/18/2004, 9/18/2005, 9/18/2006 & 9/18/2007
6. 1,750 shares vest on 9/25/2005, 9/25/2006, 9/25/2007 & 9/25/2008
7. 1,313 shares vest on 9/22/2006 & 9/22/2007, 1,312 shares vest on 9/22/2008 & 9/22/2009
Matt Snyder, Attorney-in-fact for Steven G. Mitchem 04/19/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.