HASSEL WILLIAM D 4

4 · MIDWESTONE FINANCIAL GROUP INC · Filed Jan 2, 2004

Form 4

Period: 2003-12-31

Other

Transactions

Award
Stock Option
2003-12-31+5,250→ 5,250 total
Exercise: $18.76Exp: 2013-12-31→ Common Stock (5,250 underlying)

Holdings

Stock Option
Exercise: $16.01Exp: 2012-12-31→ Common Stock (5,000 underlying)
5,000
Common Stock
(indirect: By Spouse)
1,878
Common Stock
(indirect: By ESOP)
18,759
Stock Option
Exercise: $8.38Exp: 2010-12-29→ Common Stock (3,750 underlying)
3,750
Common Stock
(indirect: By Keogh)
1,696
Common Stock
9,150
Stock Option
Exercise: $11.25Exp: 2011-12-31→ Common Stock (4,000 underlying)
4,000

Footnotes (5)

[F1]Shares held in MidWestOne Financial Group, Inc. Employee Stock Ownership Plan allocated to Mr. Hassel's account.
[F2]Total stock options granted as of December 29, 2000 were 3,750, of which 33% were exercisable on or after 12/29/2001, 66% were exercisable on or after 12/29/2002, and 100% were exercisable on or after 12/29/2003.
[F3]Total stock options granted as of December 31, 2001 were 4,000, of which 33% were exercisable on or after 12/31/2002, 66% were exercisable on or after 12/31/2003, and 100% are exercisable on or after 12/31/2004.
[F4]Total stock options granted as of December 31, 2002 were 5,000, of which 33% were exercisable on or after 12/31/2003, 66% are exercisable on or after 12/31/2004, and 100% are exercisable on or after 12/31/2005.
[F5]Total stock options granted as of December 31, 2003 were 5,250, of which 33% are exercisable on or after 12/31/2004, 66% are exercisable on or after 12/31/2005, and 100% are exercisable on or after 12/31/2006.

Documents

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