-----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, BjPzLBndG6m3LNXwguZsEeKCO+BeJW9pWppXl6CzDvK/xYxEz85z7FlC/LTWJjQw g5wHpxARwsaybb335raGrQ== 0001001277-03-000509.txt : 20031029 0001001277-03-000509.hdr.sgml : 20031029 20031029165202 ACCESSION NUMBER: 0001001277-03-000509 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030603 FILED AS OF DATE: 20031029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OFFUTT DAVID A CENTRAL INDEX KEY: 0001248096 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-26552 FILM NUMBER: 03964253 BUSINESS ADDRESS: STREET 1: 525 GABRIEL AVENUE CITY: YUBA CITY STATE: CA ZIP: 95993 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CALIFORNIA INDEPENDENT BANCORP CENTRAL INDEX KEY: 0000948976 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 680349947 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1227 BRIDGE STREET STREET 2: SUITE C CITY: YUBA CITY STATE: CA ZIP: 95992 BUSINESS PHONE: 9166744444 MAIL ADDRESS: STREET 1: P O BOX 929002 STREET 2: 1227 BRIDGE STREET SUITE C CITY: YUBA CITY STATE: CA ZIP: 95992 4/A 1 form4foroffutt102203_ex.xml X0201 4/A 2003-06-03 2003-10-22 0 0000948976 CALIFORNIA INDEPENDENT BANCORP CIBN 0001248096 OFFUTT DAVID A C/O CALIFORNIA INDEPENDENT BANCORP 1227 BRIDGE ST., SUITE C YUBA CITY CA 95991 1 0 0 0 Common Stock 2003-06-03 4 P 0 400 28.64 A 62092.244 D This Amendment for David A. Offutt, a director of California Independent Bancorp, relates to his filing of Form 4 on October 22, 2003 to a transaction that occurred on June 3, 2003. In his initial filing on October 22, 2003, Mr. Offutt's Form 4 inadvertently indicated that he disposed of 400 shares of CIBN common stock. This Amendment to Form 4 will clarify that Mr. Offutt acquired 400 shares of common stock at $28.64 per share. Kevin R. Watson for David A. Offutt (pursuant to power of attorney) 2003-10-29 -----END PRIVACY-ENHANCED MESSAGE-----