FIRST SOUTHERN BANCSHARES INC/DE·4

Oct 23, 5:03 PM ET

ROGERS JAMES ACKER 4

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

Insider Transaction Report

Form 4
Period: 2003-10-15
ROGERS JAMES ACKER
DirectorChairman of the Board
Transactions
  • Other

    Common Stock Warrants (right-to-buy)

    2003-10-15+2,2262,226 total(indirect: By IRA)
    Exercise: $0.01From: 2004-10-15Exp: 2006-10-15Common Stock (2,226 underlying)
  • Other

    Common Stock Warrants (right-to-buy)

    2003-10-15+546546 total(indirect: By Spouse)
    Exercise: $0.01From: 2004-10-15Exp: 2006-10-15Common Stock (546 underlying)
  • Other

    Common Stock Warrants (right-to-buy)

    2003-10-15+238238 total(indirect: By Spouse)
    Exercise: $0.01From: 2004-10-15Exp: 2006-10-15Common Stock (238 underlying)
  • Other

    Rights to Acquire Common Stock Warrants (r-t-b)

    2003-10-15+546546 total(indirect: By Spouse)
    Exercise: $0.01From: 2005-10-15Exp: 2007-10-15Common Stock (546 underlying)
  • Other

    Rights to Acquire Common Stock Warrants (r-t-b)

    2003-10-15+2,2262,226 total(indirect: By IRA)
    Exercise: $0.01From: 2005-10-15Exp: 2007-10-15Common Stock (2,226 underlying)
  • Other

    Series A Nonconvertible Preferred Stock

    2003-10-153,3570 total(indirect: By IRA)
  • Other

    Series A Nonconvertible Preferred Stock

    2003-10-153600 total(indirect: By Spouse)
  • Other

    Rights to Acquire Common Stock Warrants (r-t-b)

    2003-10-15+238238 total(indirect: By Spouse)
    Exercise: $0.01From: 2005-10-15Exp: 2007-10-15Common Stock (238 underlying)
  • Other

    Series A Nonconvertible Preferred Stock

    2003-10-158290 total(indirect: By Spouse)
Holdings
  • Common Stock

    (indirect: By Daughter)
    500
  • Incentive Stock Option (right to buy)

    Exercise: $11.75From: 1997-04-17Exp: 2007-04-17Common Stock (10,249 underlying)
    10,249
  • Common Stock Warrants (right-to-buy)

    Exercise: $1.00From: 2002-11-01Exp: 2005-11-01Common Stock (5,000 underlying)
    5,000
  • Common Stock

    (indirect: By Spouse)
    1,000
  • Common Stock

    32,460
Footnotes (10)
  • [F1]On October 15, 2003, the reporting person's IRA, exchanged 3,357 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.
  • [F10]These options were granted under the First Southern Bancshares, Inc. 1996 Stock Option Plan, and are fully vested and exercisable.
  • [F2]On October 15, 2003, the reporting person's IRA, exchanged 3,357 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 3,357 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.
  • [F4]On October 15, 2003, the reporting person's spouse, exchanged 829 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.
  • [F5]On October 15, 2003, the reporting person's spouse, exchanged 829 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.
  • [F6]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 829 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.
  • [F7]On October 15, 2003, the reporting person's spouse's IRA, exchanged 360 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.
  • [F8]On October 15, 2003, the reporting person's spouse, exchanged 360 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.
  • [F9]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 360 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.

Documents

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