SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
SHAKE ROBERT L

(Last) (First) (Middle)
C/O NORTHRIM BANCORP, INC.
3111 C STREET

(Street)
ANCHORAGE AK 99503

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/06/2004
3. Issuer Name and Ticker or Trading Symbol
NORTHRIM BANCORP INC [ NRIM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Executive Loan Manager
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 679 I by 401(k)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
NSO Employee Stock Option (Right to Buy) 10/02/1998(1) 10/02/2007 Common Stock 2,068 $8.64 D
ISO Stock Option (Right to Buy) 10/01/1999(1) 10/01/2008 Common Stock 1,701 $11.86 D
ISO Stock Option (Right to Buy) 10/07/2000(1) 10/07/2009 Common Stock 3,465 $8.33 D
ISO Stock Option (Right to Buy) 10/05/2001(1) 10/05/2010 Common Stock 2,750 $7.9 D
ISO Stock Option (Right to Buy) 10/04/2002(1) 10/04/2011 Common Stock 5,500 $12.47 D
ISO Stock Option (Right to Buy) 04/03/2004(1) 04/03/2013 Common Stock 7,000 $14 D
Explanation of Responses:
1. One-third of the total amount of such options, as adjusted for dividends, granted to reporting person shall vest (i.e. become exerciseable) each year beginning with these dates.
Remarks:
/s/ Robert L. Shake 05/13/2004
** 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 5 (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.