BISHOP JAMES E 4

4 · FIRST SOUTHERN BANCSHARES INC/DE · Filed Oct 23, 2003

Form 4

Period: 2003-10-15

Director

Transactions

Other
Common Stock Warrants (right-to-buy)
2003-10-15+10,584→ 10,584 total(indirect: By Kilpatrick, Bishop, Inc.)
Exercise: $0.01From: 2004-10-15Exp: 2006-10-15→ Common Stock (10,584 underlying)
Other
Rights to Acquire Common Stock Warrants (r-t-b)
2003-10-15+10,584→ 10,584 total(indirect: By Kilpatrick, Bishop, Inc.)
Exercise: $0.01From: 2005-10-15Exp: 2007-10-15→ Common Stock (10,584 underlying)
Other
Series A Nonconvertible Preferred Stock
2003-10-15−15,910→ 0 total(indirect: By Kilpatrick, Bishop, Inc.)

Holdings

Common Stock Warrants (right-to-buy)
Exercise: $1.00From: 2002-11-01Exp: 2005-11-01→ Common Stock (10,000 underlying)
10,000
Common Stock
68,208
Common Stock
(indirect: By Spouse)
2,705
Incentive Stock Option (right to buy)
Exercise: $11.75From: 1997-04-17Exp: 2007-04-17→ Common Stock (10,249 underlying)
10,249
Common Stock Warrants (right-to-buy)
Exercise: $0.01From: 2004-09-30Exp: 2006-09-30→ Common Stock (14,000 underlying)
14,000
Rights to Acquire Common Stock Warrants (right-to-
Exercise: $0.01From: 2005-09-30Exp: 2007-09-30→ Common Stock (14,000 underlying)
14,000

Footnotes (4)

[F1]On October 15, 2003, Kilpatrick Bishop, Inc., an affiliate of the reporting person, exchanged 15,910 shares of the issuer's Series A Convertible Preferred Stock for units consisting of (i) capital notes, (ii) warrants and (iii) rights to acquire additional warrants, which are reported separately on this Form 4.
[F2]On October 15, 2003, Kilpatrick Bishop, Inc., an affiliate of the reporting person, exchanged 15,910 shares of the issuer's Series A Convertible Preferred Stock for units consisting of (i) capital notes, (ii) warrants, which are reported separately on this Form 4, and (iii) these rights to acquire additional warrants.
[F3]Units consisting of (i) capital notes having a principal amount equal to the aggregate purchase price of the units, (ii) warrants and (iii) rights to acquire additional warrants were acquired in exchange for 15,910 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.
[F4]These options were granted under the First Southern Bancshares, Inc. 1996 Stock Option Plan, and are fully vested and exercisable.

Documents

1 file