WALKER ROBERT 4

Accession 0001204977-03-000005

CIK 0000934302other

View on SEC.gov Company Profile

Filed

Oct 1, 8:00 PM ET

Accepted

Oct 2, 9:21 PM ET

Size

18.9 KB

Accession

0001204977-03-000005

Insider Transaction Report

Form 4

Period: 2003-09-30

FIRST SOUTHERN BANCSHARES INC/DE(FSTH.PK)

WALKER ROBERT

Director

Transactions

Purchase
Common Stock Warrants (right-to-buy)
2003-09-30$150000.00/sh+4,200$630,000,000→ 4,200 total(indirect: By Spouse)
Exercise: $0.01From: 2004-09-30Exp: 2006-09-30→ Common Stock (4,200 underlying)
Other
Common Stock Warrants (right-to-buy)
2003-09-30+3,136→ 3,136 total(indirect: By IRA)
Exercise: $0.01From: 2004-09-30Exp: 2006-09-30→ Common Stock (3,136 underlying)
Purchase
Common Stock Warrants (right-to-buy)
2003-09-30$100000.00/sh+2,800$280,000,000→ 2,800 total
Exercise: $0.01From: 2004-09-30Exp: 2006-09-30→ Common Stock (2,800 underlying)
Purchase
Rights to Aquire Common Stock Warrants (right-to-b
2003-09-30+2,800→ 2,800 total
Exercise: $0.01From: 2005-09-30Exp: 2007-09-30→ Common Stock (2,800 underlying)
Other
Rights to Aquire Common Stock Warrants (right-to-b
2003-09-30+3,136→ 3,136 total(indirect: By IRA)
Exercise: $0.01From: 2005-09-30Exp: 2007-09-30→ Common Stock (3,136 underlying)
Purchase
Rights to Aquire Common Stock Warrants (right-to-b
2003-09-30+4,200→ 4,200 total(indirect: By Spouse)
Exercise: $0.01From: 2005-09-30Exp: 2007-09-30→ Common Stock (4,200 underlying)
Other
Series B Convertible Preferred Stock
2003-09-30−4,545→ 0 total(indirect: By IRA)
Exercise: $5.50From: 2001-08-31Exp: 2011-08-31→ Common Stock (18,180 underlying)

Holdings

Series A Nonconvertible Preferred Stock
(indirect: By IRA)
4,546
Common Stock Warrants (right-to-buy)
Exercise: $1.00From: 2002-11-01Exp: 2005-11-01→ Common Stock (15,000 underlying)
15,000
Common Stock
39,000

Footnotes (6)

[F1]Represents the aggregate cash purchase price, for the reporting person, 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's IRA exchanged 4,545 shares of the issuer's Series B 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.
[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 4,545 shares of the issuer's Series B Convertible Preferred Stock, which for purposes of such exchange were valued at $24.64 per share.
[F4]Represents the aggregate cash purchase price, for the reporting person's spouse, 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.
[F5]On September 30, 2003, the reporting person and his spouse each acquired units consisting of (i) capital notes, (ii) warrants and (iii) 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.
[F6]On September 30, 2003, the reporting person's IRA exchanged 4,545 shares of the issuer's Series B 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.

Documents

1 file

4
wal56.xmlPrimary

Issuer

FIRST SOUTHERN BANCSHARES INC/DE

CIK 0000934302

→

Entity typeother

Related Parties

filerCIK 0001204977

Filing Metadata

Form type: 4
Filed: Oct 1, 8:00 PM ET
Accepted: Oct 2, 9:21 PM ET
Size: 18.9 KB

View on SEC.gov