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
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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*
Wright Philip

(Last) (First) (Middle)
1300 NORTH FITCH MOUNTAIN ROAD

(Street)
HEALDSBURG CA 95448

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AMERICAN RIVER BANKSHARES [ AMRB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Director-American River Bank
3. Date of Earliest Transaction (Month/Day/Year)
12/13/2004
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 12/13/2004 J(1) 4,050 A $5.532 43,095 D
Common Stock 12/13/2004 J(1) 2,601 A $5.2251 45,696 D
Common Stock 12/13/2004 J(1) 1,565 D $23 44,131 D
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
Option / Right to Buy $5.532 12/13/2004 J(1) 4,050 09/24/2002 09/24/2008 Common Stock 0 $0 0 D
Option / Right to Buy $5.2251 12/13/2004 J(1) 2,601 12/16/2003 12/16/2009 Common Stock 0 $0 5,772 D
Explanation of Responses:
1. Mr. Wright exercised 6,651 stock options by turning in 1,565 of pre-owned shares of common stock and $0.40 in cash.
Remarks:
5. Relationship of Reporting Person(s) to Issuer: Mr. Wright is not a director of American River Bankshares, but a director of its sole subsidiary, American River Bank. American River Bankshares is a holding company for American River Bank and currently conducts no significant operations independent of the operations conducted by American River Bank. Consequently, Mr. Wright may have access to substantially the same information as the directors of American River Bankshares who are also directors of American River Bank.
PHILIP A. WRIGHT 12/13/2004
** 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.
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