-----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, UV2FlGDd3St0abiRiIf/buDaBYT3FPm9iUwC8rZAGcSg7jw1B+a6IhyrfRDn3L6+ g52WR+Wr/QFDQY6fHFJyrg== 0001179110-04-001533.txt : 20040121 0001179110-04-001533.hdr.sgml : 20040121 20040121173355 ACCESSION NUMBER: 0001179110-04-001533 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: VANG DOUGLAS G CENTRAL INDEX KEY: 0001185799 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 04536085 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 0001185799 VANG DOUGLAS G COMMUNITY FIRST BANKSHARES, INC. 520 MAIN AVENUE FARGO ND 58124 0 1 0 0 Senior Vice President Common Stock (CFBX) 2003-12-31 5 L 0 12 A 4239 I 401(k) Plan Common Stock (CFBX) 2003-12-31 5 L 0 9 A 4248 D Includes 12 shares purchased in the Company's 401(k) plan during 2003. Includes 9 shares purchased in the Employee Stock Purchase Plan, not previously reported. Includes 3,146 shares held directly. Includes 1,093 shares held indirectly. Galen O. Skarphol, Attorney-in-fact 2004-01-21 -----END PRIVACY-ENHANCED MESSAGE-----