0000927089-11-000273.txt : 20111121 0000927089-11-000273.hdr.sgml : 20111121 20111121101209 ACCESSION NUMBER: 0000927089-11-000273 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111117 FILED AS OF DATE: 20111121 DATE AS OF CHANGE: 20111121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH SAMUEL H CENTRAL INDEX KEY: 0001220206 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23406 FILM NUMBER: 111217965 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: 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 X0304 4 2011-11-17 0 0000916907 SOUTHERN MISSOURI BANCORP INC SMBC 0001220206 SMITH SAMUEL H C/O SOUTHERN MISSOURI BANCORP INC 531 VINE STREET POPLAR BLUFF MO 63901-7330 1 0 0 0 Common Stock 2011-11-17 4 P 0 2000 19 A 75554 D Common Stock 6500 I IRA 29,278 shares are held by Samuel Harvey Smith Trust, Samuel Harvey Smith, trustee and 44,276 shares are held by Whitty June Smith Trust, Whitty June Smith, trustee. Shares are held by an IRA account for the benefit of Samuel Harvey Smith. /s/ Samuel H. Smith 2011-11-21