0000927089-11-000123.txt : 20110525 0000927089-11-000123.hdr.sgml : 20110525 20110525154438 ACCESSION NUMBER: 0000927089-11-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110114 FILED AS OF DATE: 20110525 DATE AS OF CHANGE: 20110525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHALK SAMMY A CENTRAL INDEX KEY: 0001220215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23406 FILM NUMBER: 11870915 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: MO FISCAL YEAR END: 1231 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 X0303 4 2011-01-14 0 0000916907 SOUTHERN MISSOURI BANCORP INC SMBC 0001220215 SCHALK SAMMY A C/O SOUTHERN MISSOURI BANCORP INC 531 VINE STREET POPLAR BLUFF MO 63901-7330 1 0 0 0 Common Stock 2011-01-14 4 M 0 10000 6.75 A 42749 D Common Stock 3800 I (See Note) Stock Option (Right to Buy) 6.75 2011-01-14 4 M 0 10000 0 A 2001-01-16 2011-01-16 Common Stock 10000 0 D Gamblin Lumber Company Profit Sharing Trust, Sammy A. Schalk, Trustee. /s/ Sammy A. Schalk 2011-05-23