SISSON JOE 5
5 · APPALACHIAN BANCSHARES INC · Filed Apr 22, 2004
Insider Transaction Report
Form 5
SISSON JOE
Director
Transactions
- Exercise/Conversion
Common Stock
[F1]2002-06-11$3.64/sh+29,040$105,706→ 89,659 total - Purchase
Common Stock
[F4][F5][F1]1998-08-08+0→ 13,799 total(indirect: By IRA) - Purchase
Common Stock
[F4][F5][F1][F2]1998-08-08+0→ 16,456 total(indirect: By Spouse) - Exercise/Conversion
Stock Option (Right to Buy)
[F1][F3]2002-06-11−29,040→ 0 totalExercise: $3.64From: 1998-06-01Exp: 2007-06-01→ Common Stock (29,040 underlying)
Footnotes (5)
- [F1]All share amounts and exercise price values have been adjusted to reflect a 2 for 1 stock split on May 18, 1998, a separate 2 for 1 stock split on May 16, 2000, and a 10% stock dividend on July 1, 2003.
- [F2]The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the benefical owner of such securities for purposes of Section 16 or for any other purpose.
- [F3]The stock options, granted June 1, 1997, became exercisable in five equal annual installments of 9,680 shares (as adjusted), beginning on June 1, 1998.
- [F4]This row reflects indirect ownership which has not changed as a result of the transactions reported on this form.
- [F5]Dummy entry as required by software error.
Signature
/s/ W. Thomas King, pursuant to a power of attorney|2004-04-22