-----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, B2D2txALa0JOQHMr4pM6txqz/tM3OyMXkxY8ZQezmvcQaJn2L6LqcsxKWc5hLve8 xpCreL6FXnBt82p78MSRzg== 0000887343-96-000014.txt : 19960830 0000887343-96-000014.hdr.sgml : 19960830 ACCESSION NUMBER: 0000887343-96-000014 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19960821 FILED AS OF DATE: 19960829 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: COLUMBIA BANKING SYSTEM INC CENTRAL INDEX KEY: 0000887343 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 911422237 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-20288 FILM NUMBER: 96623747 BUSINESS ADDRESS: STREET 1: 1102 BROADWAY PLAZA CITY: TACOMA STATE: WA ZIP: 98402 BUSINESS PHONE: 2063051900 MAIL ADDRESS: STREET 1: 1102 BROADWAY PLAZA CITY: TACOMA STATE: WA ZIP: 98402 10-C 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. FORM 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ INTERDEALER QUOTATION SYSTEM Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and Rule 13a-17 or 15d-17 thereunder COLUMBIA BANKING SYSTEM, INC. - ----------------------------------------------------------------------------- (Exact name of issuer as specified in charter) 1102 Broadway Plaza, P.O. Box 2156, Tacoma, Washington. 98401-2156 - ----------------------------------------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code (206) 305-1900 ------------------------------- I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of 5% or more in number of shares outstanding: 1. Title of security common stock ------------------------------------------------------- 2. Number of shares outstanding before the change 3,465,984 -------------------------- 3. Number of shares outstanding after the change 3,698,695 -------------------------- 4. Effective date of change August 21, 1996 ------------------------------------------------ 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, aquisition of stock for treasury, etc.): Conversion of oustanding 7.85% Convertible Subordinated Notes due June 30, 2002 into shares of common stock. ------------------------------------------------------- 6. Give brief description of transaction: On August 1, 1996, the Company redeemed all of its issued and outstanding 7.85% Convertible Subordinated Notes due June 30, 2002. Holders of the Notes had the option to convert their Notes, at the per share conversion price of $10.56, into shares of common stock until August 1, 1996. --------------------------------------------------------------------------- I. CHANGE IN NAME OF ISSUER 1. Name prior to change ----------------------------------------------------- 2. Name after change ----------------------------------------------------- 3. Effective date of charter amendment changing name ---------------------- 4. Date of shareholder approval of change, if required ---------------------- Date: August 26, 1996 /s/ A. G. Espe ----------------- --------------------------------- A. G. Espe, Chairman and Chief Executive Officer -----END PRIVACY-ENHANCED MESSAGE-----