Home/Filings/4/0000909654-03-001095
4//SEC Filing

WALKER ROBERT 4

Accession 0000909654-03-001095

CIK 0000934302other

Filed

Oct 22, 8:00 PM ET

Accepted

Oct 23, 5:03 PM ET

Size

16.1 KB

Accession

0000909654-03-001095

Insider Transaction Report

Form 4
Period: 2003-10-15
Transactions
  • Other

    Common Stock Warrants (right-to-buy)

    2003-10-15+3,0243,024 total(indirect: By IRA)
    Exercise: $0.01From: 2004-10-15Exp: 2006-10-15Common Stock (3,024 underlying)
  • Other

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

    2003-10-15+3,0243,024 total(indirect: By IRA)
    Exercise: $0.01From: 2005-10-15Exp: 2007-10-15Common Stock (3,024 underlying)
  • Other

    Series A Nonconvertible Preferred Stock

    2003-10-154,5460 total(indirect: By IRA)
Holdings
  • Common Stock

    39,000
  • Rights to Acquire Common Stock Warrants (right-to-

    (indirect: By IRA)
    Exercise: $0.01From: 2005-09-30Exp: 2007-09-30Common Stock (3,136 underlying)
    3,136
  • Common Stock Warrants (right-to-buy)

    Exercise: $0.01From: 2004-09-30Exp: 2006-09-30Common Stock (2,800 underlying)
    2,800
  • Rights to Acquire Common Stock Warrants (right-to-

    (indirect: By Spouse)
    Exercise: $0.01From: 2005-09-30Exp: 2007-09-30Common Stock (4,200 underlying)
    4,200
  • Common Stock Warrants (right-to-buy)

    Exercise: $1.00From: 2002-11-01Exp: 2005-11-01Common Stock (15,000 underlying)
    15,000
  • Common Stock Warrants (right-to-buy)

    (indirect: By IRA)
    Exercise: $0.01From: 2004-09-30Exp: 2006-09-30Common Stock (3,136 underlying)
    3,136
  • Common Stock Warrants (right-to-buy)

    (indirect: By Spouse)
    Exercise: $0.01From: 2004-09-30Exp: 2006-09-30Common Stock (4,200 underlying)
    4,200
  • Rights to Acquire Common Stock Warrants (right-to-

    Exercise: $0.01From: 2005-09-30Exp: 2007-09-30Common Stock (2,800 underlying)
    2,800
Footnotes (3)
  • [F1]On October 15, 2003, the reporting person's IRA, exchanged 4,546 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, the reporting person's IRA, exchanged 4,546 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 4,546 shares of the issuer's Series A Convertible Preferred Stock, which for purposes of such exchange were valued at $23.76 per share.

Documents

1 file

Issuer

FIRST SOUTHERN BANCSHARES INC/DE

CIK 0000934302

Entity typeother

Related Parties

1
  • filerCIK 0001204977

Filing Metadata

Form type
4
Filed
Oct 22, 8:00 PM ET
Accepted
Oct 23, 5:03 PM ET
Size
16.1 KB