-----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, RogFI+HCM2+LSxZ72kJInH6tuXd3kFwWMTSHJUb38qyhR7lgyg5cT9YjtL06XjGb 6DAGd0adhCtyixu8OenYLg== 0001179110-03-003670.txt : 20030717 0001179110-03-003670.hdr.sgml : 20030717 20030717101538 ACCESSION NUMBER: 0001179110-03-003670 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030507 FILED AS OF DATE: 20030717 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY FIRST BANKSHARES INC CENTRAL INDEX KEY: 0000857593 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 460391436 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 BUSINESS PHONE: 7012985600 MAIL ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON THOMAS R CENTRAL INDEX KEY: 0001185786 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 03790447 BUSINESS ADDRESS: STREET 1: C/O COMMUNITY FIRST BANKSHARES INC STREET 2: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 BUSINESS PHONE: 7012985623 MAIL ADDRESS: STREET 1: C/O COMMUNITY FIRST BANKSHARES INC STREET 2: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 4 1 edgar.xml FORM 4 - X0101 4 2003-05-07 0 0000857593 COMMUNITY FIRST BANKSHARES INC CFBX 0001185786 ANDERSON THOMAS R 0 1 0 0 Executive Vice President Common Stock (CFBX) 2003-05-07 4 M 0 10000 19.5625 A 50251 D Common Stock (CFBX) 2003-05-07 4 F 0 7021 27.86 D 43230 D Common Stock (CFBX) 2003-05-07 4 F 0 555 27.86 D 47293 D Option - Right to Buy 19.5625 2003-05-07 4 M 0 10000 19.5625 D 1998-08-08 2009-02-02 Common Stock 10000 0 D Option - Right to Buy 27.86 2003-05-07 4 A 0 7576 27.86 A 2003-05-07 2009-02-02 Common Stock 7576 7576 D The original filing on 5/7/03 was not accepted by the SEC due to system processing delays. The transaction was subsequently returned due to an input error. Per instructions from the SEC, manual forms were resubmitted, but were not accepted, as the manual filing deadline had passed. As of this date, 47,293 shares are held directly by the reporting person. Securities sold to facilitate withholding relative to non-qualified options. Includes 42675 shares held directly and 4618 shares held indirectly in 401(k) plan. The option becomes exercisable with respect to one-third of the shares per year, commencing one year from the date of grant, which is also nine years prior to the expiration date. Option acquired via reload feature of $19.5625 option grant. Galen O. Skarphol, Attorney-in-fact 2003-07-16 -----END PRIVACY-ENHANCED MESSAGE-----