SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LOKEY JAMES W

(Last) (First) (Middle)
1026 EAST GRAND AVENUE

(Street)
ARROYO GRANDE CA 93420

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MID-STATE BANCSHARES [ MDST ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President/CEO
3. Date of Earliest Transaction (Month/Day/Year)
06/30/2000
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 01/31/2004 J(2) 4,836 A $22.13(3) 28,562 D
Common Stock(4) 12/31/2000 P 1,500 A $17.75 30,062 D
Common Stock(5) 01/31/2004 J(6) 233 A $23.03(3) 30,295 D
Common Stock(7) 06/30/2000 J(8) 3,000 A $25.44(3) 33,295 I Trustee of the John R. Lokey Trust
Common Stock(9) 12/31/2000 P 1,500 A $23.03(3) 34,795 I By Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock(10) $14(11) 02/09/2004 J(12) 30,000(13) 02/09/2001 02/09/2010 Common Stock(10) 150,000(28) $14(11) 112,925(14) I By Company(15)
Common Stock(22) $14.5(23) 03/21/2004 J(18) 12,414(24) 03/21/2002 03/21/2011 Common Stock(22) 62,069(28) $14.5(23) 37,241(14) I By Company(15)
Common Stock(25) $17.4(26) 03/13/2004 J(18) 10,588(27) 03/13/2003 03/13/2012 Common Stock(25) 52,941(28) $17.4(26) 21,176(14) I By Company(15)
Common Stock(16) $17.1(17) 02/19/2004 J(18) 12,590(19) 02/19/2004 02/19/2013 Common Stock(16) 62,950(28) $17.1(17) 12,590(14) I By Company(15)
Common Stock(20) $24.64(21) 02/18/2004 J(18) 0 02/18/2005 02/18/2014 Common Stock(20) 46,417(28) $24.64(21) 0(14) I By Company(15)
Explanation of Responses:
1. Shares held in street name for the J & C Lokey Living Trust.
2. Additional shares acquired through reinvestment of dividends from 06/01/2003 to 01/31/2004.
3. Average price paid per share.
4. Street name account opened in December 2000 for James W. Lokey SEP-IRA.
5. Shares held in street name for James W. Lokey SEP-IRA.
6. Additional shares acquired through reinvestment of dividends from 12/31/2000 - 01/31/2004.
7. Shares held in street name for James W. Lokey, Trustee of the John Lokey Trust.
8. Upon the death of his father in June of 2000, Mr. Lokey was appointed Trustee of the John R. Lokey Trust dated December 28, 1989 held in street name.
9. Shares held in street name for Christine L. Lokey SEP-IRA.
10. 150,000 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 35,710 shares were issued and treated as an Incentive Stock Option, and the remaining 114,290 shares were issued and treated as a Non-Qualified Option.
11. Shares granted at closing market value for MDST as of February 9, 2000.
12. Under the terms of the Company's 1996 Stock Option Plan, this grant vests 20% per year on the anniversary date of the grant for five (5) years at which time the options become 100% vested. The Optionee has another five (5) years from the 100% vesting anniversary date to exercise the shares in accordance with the terms and conditions of the Company's Plan. Mr. Lokey exercised 7,075 shares of the incentive grant as reported on Form 4 in June and November of 2003.
13. Additional 7,142 shares vested under the Incentive grant and 22,858 shares vested under the Non-Qualified grant. A total of 30,000 additional shares now vested and available for exercise. A total of 112,925 shares now available for exercise under this grant.
14. Shares vested and now available for exercise by Mr. Lokey under these two grants.
15. Shares granted to Mr. Lokey by the Company that have not yet been exercised.
16. 62,950 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 6,760 shares were issued and treated as an Incentive Stock Option, and the remaining 56,190 shares were issued and treated as a Non-Qualified Option.
17. Shares granted at closing market value for MDST as of February 19, 2003.
18. Under the terms of the Company's 1996 Stock Option Plan, this grant vests 20% per year on the anniversary date of the grant for five (5) years at which time the options become 100% vested. The Optionee has another five (5) years from the 100% vesting anniversary date to exercise the shares in accordance with the terms and conditions of the Company's Plan.
19. Additional 326 shares vested under the Incentive grant and 12,264 shares vested under the Non-Qualified grant. A total of 12,590 shares now available for exercise under this grant.
20. 46,417 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 4,058 shares were issued and treated as an Incentive Stock Option, and the remaining 42,359 shares were issued and treated as a Non-Qualified Option.
21. Shares granted at closing market value for MDST as of February 18, 2004.
22. 62,069 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 6,896 shares were issued and treated as an Incentive Stock Option, and the remaining 55,173 shares were issued and treated as a Non-Qualified Option.
23. Shares granted at closing market value for MDST as of March 21, 2001.
24. Additional 12,414 shares vested under the the Non-Qualified grant. A total of 37,241 shares now available for exercise under this grant.
25. 52,941 shares granted as an Incentive Stock Option under the 1996 Stock Option Plan. Due to the $100K limitation, 5,747 shares were issued and treated as an Incentive Stock Option, and the remaining 47,194 shares were issued and treated as a Non-Qualified Option.
26. Shares granted at closing market value for MDST as of March 13, 2002.
27. Additional 10,588 shares vested under the Incentive grant. A total of 21,176 shares are now availablef or exercise under this grant.
28. Shares approved by the Board of Directors as an Incentive Stock Option grant.
James W. Lokey 04/07/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.