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*
Baker Kevin L

(Last) (First) (Middle)
CARE OF GREAT SOUTHERN BANK
218 S. GLENSTONE AVE

(Street)
SPRINGFIELD MO 65802

(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
Officer (give title below) X Other (specify below)
Vice President of Subsidiary
3. Date of Earliest Transaction (Month/Day/Year)
11/20/2019
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
Common Stock 11 D
Common Stock 6,610(1) I 401(k) Plan
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 $60.15 11/20/2019 A 950 11/20/2021 11/20/2029 Common stock 950 $60.15 950 D
Option to purchase $60.15 11/20/2019 A 950 11/20/2022 11/20/2029 Common stock 950 $60.15 1,900 D
Option to purchase $60.15 11/20/2019 A 950 11/20/2023 11/20/2029 Common stock 950 $60.15 2,850 D
Option to purchase $60.15 11/20/2019 A 950 11/20/2024 11/20/2029 Common stock 950 $60.15 3,800 D
Option to purchase $32.59 (2) 10/15/2024 Common stock 625 4,425 D
Option to purchase $50.71 (3) 11/18/2025 Common stock 2,500 6,925 D
Option to purchase $41.3 (4) 10/24/2026 Common stock 2,500 9,425 D
Option to purchase $52.2 (5) 11/15/2027 Common stock 2,800 12,225 D
Option to purchase $55 (6) 11/28/2028 Common Stock 3,500 15,725 D
Explanation of Responses:
1. Reflects reporting person's holdings of units in Issuer's common stock fund under Issuer's 401(k) plan. Number of shares shown as beneficially owned under the plan represents the approximate equivalent number of shares of Issuer's common stock.
2. 625 shares vest on 10/15/2019
3. 625 shares vest on 11/18/2017, 11/18/2018, 11/18/2019 and 11/18/2020
4. 625 shares vest on 10/24/2018, 10/24/2019, 10/24/2020 and 10/24/2021
5. 700 shares vest on 11/15/2019, 11/15/2020, 11/15/2021 and 11/15/2022
6. 875 shares vest on 11/28/2020, 11/28/2021, 11/28/2022 and 11/28/2023
Remarks:
Matt Snyder, Attorney-in-fact for Kevin L. Baker 11/21/2019
** 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.