-----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, OT5SKvBCJoCxO+q0JUiORwZBumcM7fMBQgOMvTrJDETKgx23zlqWv+FhZFBK1wBc 0dO63z5DzuyTpvpkQH5BbA== 0001209191-05-029534.txt : 20050611 0001209191-05-029534.hdr.sgml : 20050611 20050602123400 ACCESSION NUMBER: 0001209191-05-029534 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050531 FILED AS OF DATE: 20050602 DATE AS OF CHANGE: 20050602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIDELITY FEDERAL BANCORP CENTRAL INDEX KEY: 0000910492 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 351894432 STATE OF INCORPORATION: IN FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 700 S GREEN RIVER ROAD STREET 2: SUITE 2000 CITY: EVANSVILLE STATE: IN ZIP: 47715 BUSINESS PHONE: 8124692100 MAIL ADDRESS: STREET 1: 18 NW FOURTH ST STREET 2: PO BOX 1347 CITY: EVANSVILLE STATE: IN ZIP: 47706-1347 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STOFFREGEN PHILLIP J CENTRAL INDEX KEY: 0001185824 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-67110 FILM NUMBER: 05872903 BUSINESS ADDRESS: BUSINESS PHONE: 3175870320 MAIL ADDRESS: STREET 1: 8888 KEYSTONE CROSSING STREET 2: SUITE 900 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-05-31 0 0000910492 FIDELITY FEDERAL BANCORP FDLB.PK 0001185824 STOFFREGEN PHILLIP J 1 PEDCOR SQUARE 770 3RD AVENUE SW CARMEL IN 46032 1 0 1 0 Common Stock 2005-05-31 4 P 0 49161 22.20 A 691661 I By Pedcor Financial, LLC Director Stock Option (right to buy) 51.72 2010-05-19 Common Stock 550 550 D Director Stock Option (right to buy) 53.04 2012-05-01 Common Stock 416.67 416.67 D Common Stock Warrants (right to buy) 30.00 2012-02-28 Common Stock 32218.25 32218.25 I By Pedcor Financial, LLC Common Stock Warrants (right to buy) 30.00 2012-02-28 Common Stock 2055.5 2055.5 I By Pedcor Bancorp On February 28, 2005, the Issuer effected a 1 for 30,000 reverse stock split of its common stock. Subsequently, the Issuer effected a 2,500 for 1 forward stock split. The $22.20 per share purchase price is equivalent to $1.85 per share of the Issuer?s common stock before giving effect to the February 28, 2005 reverse stock split and forward stock split. This Stock Option was previously reported as covering 6,600 shares of common stock of the Issuer at a price of $4.31 per share. It has been adjusted to give effect to the Issuer's reverse stock split and forward stock split. Immediately This Stock Option was previously reported as covering 5,000 shares of common stock of the Issuer at a price of $4.42 per share. It has been adjusted to give effect to the Issuer's reverse stock split and forward stock split. This Warrant was previously reported as covering 386,619 shares of common stock of the Issuer at a price of $2.5 per share. It has been adjusted to give effect to the Issuer's reverse stock split and forward stock split. This Warrant was previously reported as covering 24,666 shares of common stock of the Issuer at a price of $2.5 per share. It has been adjusted to give effect to the Issuer's reverse stock split and forward stock split. /s/ Phillip J. Stoffregen 2005-06-01 -----END PRIVACY-ENHANCED MESSAGE-----