-----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, H2Egn/E9EYmWiXswQy/wUhVK0xVfD55MZH4qLl1o4P2xez0tKotQhlplbVnxGuAC z1IATDB8raKHnAvJIbfdBw== 0001179110-04-020620.txt : 20041102 0001179110-04-020620.hdr.sgml : 20041102 20041102173515 ACCESSION NUMBER: 0001179110-04-020620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041101 FILED AS OF DATE: 20041102 DATE AS OF CHANGE: 20041102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAPLES PATRICIA J CENTRAL INDEX KEY: 0001185798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 041114250 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 4 1 edgar.xml FORM 4 - X0202 4 2004-11-01 1 0000857593 COMMUNITY FIRST BANKSHARES INC CFBX 0001185798 STAPLES PATRICIA J COMMUNITY FIRST BANKSHARES, INC. 520 MAIN AVENUE FARGO ND 58124 0 1 0 0 Executive Vice President Common Stock (CFBX) 2004-11-01 4 D 0 16778 32.25 D 0 D Common Stock (CFBX) 2004-11-01 4 D 0 1748 32.25 D 0 I 401(k) Option - Right to Buy 14.00 2004-11-01 4 D 0 2150 19.5625 D 1999-09-09 2009-02-02 Common Stock 12000 0 D Option - Right to Buy 19.3125 2004-11-01 4 D 0 10000 19.3125 D 1999-09-09 2011-02-06 Common Stock 10000 0 D Option - Right to Buy 24.25 2004-11-01 4 D 0 10000 24.25 D 1999-09-09 2012-02-05 Common Stock 10000 0 D Option - Right to Buy 26.29 2004-11-01 4 D 0 15000 26.29 D 1999-09-09 2013-04-22 Common Stock 15000 0 D Option - Right to BUy 28.41 2004-11-01 4 D 0 705 28.41 D 1999-09-09 2009-02-02 Common Stock 705 0 D Option - Right to Buy 28.11 2004-11-01 4 D 0 5417 28.11 D 1999-09-09 2009-02-02 Common Stock 5417 0 D Optino - Right to Buy 28.11 2004-11-01 4 D 0 5400 28.11 D 1999-09-09 2010-02-08 Common Stock 5400 0 D Optiopn - right to Buy 27.54 2004-11-01 4 D 0 10000 27.54 D 1999-09-09 2014-02-03 Common Stock 10000 0 D Disposal pursuant to Agreement and Plan of Merger dated as of March 15, 2004 between Community First Bankshares and BancWest Corporation which provides for a cash payment of $32.25 per common share. Disposal pursuant to Agreement and Plan of Merger dated as of March 15, 2004 between Community First Bankshares and BancWest Corporation in which each option has been cancelled in exchange for a cash payment of $32.25 per share, less the exercise price per share, for each share subject to option grant. All unvested options became vested with the merger. 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. All unvested options became vested with the merger. Option acquired via reload feature of $19.5625 option grant. Option acquired via reload feature of $14.00 option grant. Galen O. Skarphol, Attorney-in-fact 2004-11-01 -----END PRIVACY-ENHANCED MESSAGE-----