-----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, OugQdSrGrMV9HgtI76F85bWVv17lZvc3AiBmhC5f2t7I9VBSU5/jcJeWp2a52NZg MsY+nb3RVxbY6jMWdqbsxQ== 0001179110-04-001485.txt : 20040121 0001179110-04-001485.hdr.sgml : 20040121 20040121140446 ACCESSION NUMBER: 0001179110-04-001485 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040121 FILED AS OF DATE: 20040121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON MARK A CENTRAL INDEX KEY: 0001185784 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 04534698 BUSINESS ADDRESS: STREET 1: 520 MAIN AVE. CITY: FARGO STATE: ND ZIP: 58124 BUSINESS PHONE: 7012985625 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 5 1 edgar.xml FORM 5 - X0201 5 2004-01-21 0 0 0 0000857593 COMMUNITY FIRST BANKSHARES INC CFBX 0001185784 ANDERSON MARK A COMMUNITY FIRST BANKSHARES, INC. 520 MAIN AVENUE FARGO ND 58124 1 1 0 0 President & CEO Common Stock (CFBX) 2003-12-31 5 L 0 6415 D 305197 I 401(k) Includes 3,277 shares as Uniform Gift to Minors, and 299,267 shares held directly. Includes 6,415 shares sold in the Company's 401(k) plan during 2003. Galen O. Skarphol, Attorney-in-fact 2004-01-21 -----END PRIVACY-ENHANCED MESSAGE-----