-----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, D8Sp7CElWfl0XcZByBBqE9mGCE4yKXOb8nOEufV5Pd21S1hUJY27ASXi7e58oTcS w2g8+xJnBWAVI5FMhefzqw== 0000927089-04-000380.txt : 20041109 0000927089-04-000380.hdr.sgml : 20041109 20041109112355 ACCESSION NUMBER: 0000927089-04-000380 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041105 FILED AS OF DATE: 20041109 DATE AS OF CHANGE: 20041109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAGBY DOUGLAS CENTRAL INDEX KEY: 0001220212 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23406 FILM NUMBER: 041127943 MAIL ADDRESS: STREET 1: C/O SOUTHERN MISSOURI BANCORP INC STREET 2: 531 VINE STREET CITY: POPLAR BLUFF STATE: MO ZIP: 63901-7330 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-05 0 0000916907 SOUTHERN MISSOURI BANCORP INC SMBC 0001220212 BAGBY DOUGLAS C/O SOUTHERN MISSOURI BANCORP INC 531 VINE STREET POPLAR BLUFF MO 63901-7330 1 0 0 0 Common Stock 2004-11-05 4 P 0 348 16.01 A 9435 D Stock Option - Right to Buy 6.75 1999-05-18 2009-05-18 Common Stock 10000 10000 D /s/ Douglas L. Bagby 2004-11-09 -----END PRIVACY-ENHANCED MESSAGE-----