-----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, R00c4vftlezJyMnfqrHEl/2avjcotd4YGE+ZCnp/aeb5crq9u+0SX5DudrHhI4z+ 2j5ZnPp+ubAfqn4W7x88Tw== 0000854560-05-000058.txt : 20051020 0000854560-05-000058.hdr.sgml : 20051020 20051020161803 ACCESSION NUMBER: 0000854560-05-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051017 FILED AS OF DATE: 20051020 DATE AS OF CHANGE: 20051020 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: MD 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18082 FILM NUMBER: 051147542 BUSINESS ADDRESS: STREET 1: 1451 E BATTLEFIELD CITY: SPRINGFIELD STATE: MO ZIP: 65804 BUSINESS PHONE: 4178874400 MAIL ADDRESS: STREET 1: 3278 S. WOODSTOCK CITY: SPRINGFIELD STATE: MO ZIP: 65809 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-10-17 0 0000854560 GREAT SOUTHERN BANCORP INC GSBC 0001044053 MITCHEM STEVEN G 3278 S. WOODSTOCK SPRINGFIELD MO 65809 0 0 0 1 Senior Vice Pres of Subsidiary Common stock 2005-10-17 4 P 0 200 27.3287 A 71065 D Option to purchase 12.9688 2008-04-15 Common stock 1200 1200 D Option to purchase 11.8908 1999-01-20 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 Option to purchase 30.34 2015-09-20 Common stock 5250 36900 D 600 shares vest on 4/15/2002 & 4/15/2003 600 shares vest on 1/20/2003 & 1/20/2004 1,250 shares vest on 9/20/2002, 9/20/2003, 9/20/2004 & 9/20/2005 1,500 shares vest on 9/24/2003, 9/24/2004, 9/24/2005 & 9/24/2006 1,500 shares vest on 9/18/2004, 9/18/2005, 9/18/2006 & 9/18/2007 1,750 shares vest on 9/25/2005, 9/25/2006, 9/25/2007 & 9/25/2008 1,313 shares vest on 9/22/2006 & 9/22/2007 and 1,312 shares vest on 9/22/2008 & 9/22/2009 1,313 shares vest on 9/20/2007 & 9/20/2008 and 1,312 shares vest on 9/20/2009 & 9/20/2010 Matt Snyder, Attorney-in-fact for Steven G. Mitchem 2005-10-20 -----END PRIVACY-ENHANCED MESSAGE-----