-----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, F/6HBvV2zXkxQXNwTkvCvv62lTeoDkuDIswJoIX6g4Uq/af7ROArC6z/AV29ojBa hKATIGVpiqLdsP3E0oIbgw== 0000939057-03-000014.txt : 20030127 0000939057-03-000014.hdr.sgml : 20030127 20030127134508 ACCESSION NUMBER: 0000939057-03-000014 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021202 FILED AS OF DATE: 20030127 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BANNER CORP CENTRAL INDEX KEY: 0000946673 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 911691604 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26584 FILM NUMBER: 03525456 BUSINESS ADDRESS: STREET 1: 10 S FIRST AVENUE CITY: WALLA WALLA STATE: WA ZIP: 99362 BUSINESS PHONE: 5095273636 MAIL ADDRESS: STREET 1: 10 S FIRST AVENUE CITY: WALLA WALLA STATE: WA ZIP: 99362 FORMER COMPANY: FORMER CONFORMED NAME: FIRST SAVINGS BANK OF WASHINGTON BANCORP INC DATE OF NAME CHANGE: 19950614 FORMER COMPANY: FORMER CONFORMED NAME: FIRST WASHINGTON BANCORP INC /WA/ DATE OF NAME CHANGE: 19980727 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BAKER LLOYD W CENTRAL INDEX KEY: 0001187856 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O BANNER CORP STREET 2: PO BOX 907 CITY: WALLA WALLA STATE: WA ZIP: 99362 BUSINESS PHONE: 5095273636 MAIL ADDRESS: STREET 1: C/O BANNER CORP STREET 2: PO BOX 907 CITY: WALLA WALLA STATE: WA ZIP: 99362 5 1 baker.htm LLOYD W. BAKER FORM 5
FORM 5
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
OMB APPROVAL
[ ] Check box if no longer subject             OMB Number: 3235-0362
to Section 16.  Form 4 or Form ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Expires: January 31, 2005
5 obligations may continue.  See Instruction 1(b)   Estimated average burden hours per response....................1.0
[ ] Form 3 Holdings Reported  
[ ] From 4 Transactions Reported Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility
 
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940  

 
1. Name and Address of Reporting Person*

  Baker, Lloyd W.
2. Issuer Name and Ticker or Trading Symbol

Banner Corporation "BANR "

6. Relationship of Reporting Person(s) to Issuer (Check all applicable)

                 Director                       10% Owner
           X    Officer (give title            Other (specify
                              below)                      below)
           Executive Vice President and CFO      

(Last)            (First)                  (Middle)


   10 South First Avenue

3. IRS Identification Number of Reporting Person, if an entity (voluntary)

          
4. Statement for Month/Year

              12/02                

                    (Street)



  Walla Walla, WA  99362

5. If Amendment, Date of Original (Month/Year)

  7. Individual or Joint/Group Reporting
                 (check applicable line)
    XX Form Filed by One Reporting Person
          Form Filed by More than One Reporting
          Person

(City)          (State)           (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

  
1. Title of Security (Instr. 3) 2. Trans-action Date (Month/Day/ Year) 2A.  Deemed Execution Date, if any (Month/
Day/Year)
3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of  Securities Bene-ficially Owned at End of  Issuer's Fiscal Year  (Instr. 3 and 4) 6. Owner-ship Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
  
                   
                 
                    
                    
                     

*If the form is filed by more than one reporting person, see Instruction 4(b)(v).                                                                                                                SEC 1474 (3-99)
Potential persons who are to respond to the collection of information contained in this form are not required
to respond unless the form displays a currently valid OMB control number.

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FORM 5 (continued)                    Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
                                                                    (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3) 2. Con-version or Exercise Price of Derivative Security 3. Trans-action Date (Month/ Day/Year) 3A. Deemed Execution Date, if any (Month/
Day/Year)
4. Trans-action Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.3, 4, and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Underlying Sec-urities (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of Deriva-tive Se-curities Benefici- ally Owned at End of Year (Instr. 4) 10. Owner-ship of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4 )
(A) (D) Date Exer-cisable Expiration Date Title Amount or Number of Shares
Phantom Stock Units 1 for 1 2/04/02   A 4.02   * * Common Stock 4.02 18.25   D  
Phantom Stock Units 1 for 1 2/15/02   A 118.76   * * Common Stock 118.76 20.57   D  
Phantom Stock Units 1 for 1 5/15/02   A 248.82   * * Common Stock 248.82 24.23   D  
Phantom Stock Units 1 for 1 8/14/02   A 278.50   * * Common Stock 278.50 21.42 1,014 D  
                                
                                

Explanation of Responses:

*Phantom Stock Units acquired pursuant to deferred compensation agreement; settled in stock at termination of service.

 

                                                                                                                                  /s/Lloyd W. Baker                                            1/22/03       
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.        **  Signature of Reporting Person                         Date
    See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)                                                                        

Note: File three copies of this Form, one of which must be manually signed.
      If space provided is insufficient, see Instruction 6 for procedure

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.

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