BISHOP JAMES E 4

4 · FIRST SOUTHERN BANCSHARES INC/DE · Filed Oct 2, 2003

Form 4

Period: 2003-09-30

Director

Transactions

Purchase
Common Stock Warrants (right-to-buy)
2003-09-30$500000.00/sh+14,000$7,000,000,000→ 14,000 total
Exercise: $0.01From: 2004-09-30Exp: 2006-09-30→ Common Stock (14,000 underlying)
Purchase
Rights to Aquire Common Stock Warrants (right-to-b
2003-09-30+14,000→ 14,000 total
Exercise: $0.01From: 2005-09-30Exp: 2007-09-30→ Common Stock (14,000 underlying)

Holdings

Common Stock
68,208
Common Stock Warrants (right-to-buy)
Exercise: $1.00From: 2002-11-01Exp: 2005-11-01→ Common Stock (10,000 underlying)
10,000
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
Series A Nonconvertible Preferred Stock
(indirect: By Kilpatrick, Bishop, Inc.)
15,910

Footnotes (3)

[F1]Represents the aggregate cash purchase price of 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.
[F2]On September 30, 2003, the reporting person acquired units consisting of capital notes, warrants and rights to acquire additional warrants from the issuer. The warrants acquired on September 30, 2003 are reported separately on this Form 4. The capital notes purchased on September 30 , 2003 provide the holder the right to acquire these additional warrants on September 30, 2004.
[F3]These options were granted under the First Southern Bancshares, Inc. 1996 Stock Option Plan, and are fully vested and exercisable.

Documents

1 file