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*
ROGERS MARY M

(Last) (First) (Middle)
200 COCONUT PALM ROAD

(Street)
VERO BEACH FL 32963

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INDIAN RIVER BANKING COMPANY [ IRBC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/31/2003
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 12/31/2003 M 878 A $16.74 75,429(1) D
Common Stock 12/31/2003 M 2,795 A $19.53 78,224(1) D
Common Stock 12/31/2003 M 1,540 A $32.73 79,764(1) 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
Options to Purchase Common Stock $16.74 12/31/2003 M 878 12/31/1999 12/31/2009 Common Stock 878 $0 0(2) D
Options to Purchase Common Stock $19.53 12/31/2003 M 2,795 12/31/2000(4) 12/31/2010(4) Common Stock 2,795 $0 0(2) D
Options to Purchase Common Stock $32.73 12/31/2003 M 1,540 01/02/2003(5) 01/02/2014(5) Common Stock 1,540 $0 770(3) D
Explanation of Responses:
1. Includes 61,762 shares held jointly with spouse. Mrs. Rogers indirectly owns 1,024 shares held by spouse, 3,438 shares held by a relative and 24,529 held as trustee. Indirectly owned shares are not included in total.
2. None of this grant.
3. Options vest 12-31-2004.
4. Options vested in three equal instalments commencing 12-31-2000 and ending 12-31-2002.
5. Options vested in equal instalments 1/2/2003 and 12/31/2003
Mary M. Rogers 01/05/2004
** 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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