-----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, BR2FVWNxb8W+VDhpsM3cQgYs3hqPU6xJKyz9uKuG1Abh5TiHzSq8veIG3fCXzRDS C0bCftANeppB/hTJlR2Q/A== 0000927089-04-000364.txt : 20041102 0000927089-04-000364.hdr.sgml : 20041102 20041102155957 ACCESSION NUMBER: 0000927089-04-000364 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041018 FILED AS OF DATE: 20041102 DATE AS OF CHANGE: 20041102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moffitt Charles R CENTRAL INDEX KEY: 0001307585 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23406 FILM NUMBER: 041113432 BUSINESS ADDRESS: BUSINESS PHONE: 5737851421 MAIL ADDRESS: STREET 1: 6135 GREENBRIAR CITY: POPLAR BLUFF STATE: MO ZIP: 63901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SOUTHERN MISSOURI BANCORP INC CENTRAL INDEX KEY: 0000916907 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 431665523 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 531 VINE ST CITY: POPLAR BLUFF STATE: MO ZIP: 63901 BUSINESS PHONE: 5737851421 MAIL ADDRESS: STREET 1: 531 VINE STREET CITY: POPLAR BLUFF STATE: MO ZIP: 63901 3 1 primary_doc.xml PRIMARY DOCUMENT X0202 3 2004-10-18 0 0000916907 SOUTHERN MISSOURI BANCORP INC SMBC 0001307585 Moffitt Charles R 6135 GREENBRIAR POPLAR BLUFF MO 63901 1 0 0 0 Common Stock 500 D Stock Option - Right to Buy 15.3 2014-10-18 Common Stock 5000 D The options become exercisable in 20% installments over a five year period with the first installment vesting on 10-18-05. Each remaining installment vests annually thereafter. /s/ Charles R. Moffitt 2004-11-01 -----END PRIVACY-ENHANCED MESSAGE-----