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*
FOSHEE WILLIAM M

(Last) (First) (Middle)
211 LEE STREET NE

(Street)
DECATUR AL 35601

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HERITAGE FINANCIAL HOLDING [ HBFH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/01/2005
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 01/01/2005 D 10,150 D (1) 0 D
Common stock 01/01/2005 D 32,000 D (1) 0 I By IRA
Common stock 01/01/2005 D 18,000 D (1) 0 I By IRA of 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
Right to buy $3.335 01/01/2005 D 25,000 (2) 05/23/2013 Common stock 25,000 (2) 0 D
Explanation of Responses:
1. Shares disposed of in the merger between Heritage Financial Holding Corporation and The Peoples Holding Company pursuant to which each share of Heritage common stock was exchanged for either (i) $6.25 in cash, (ii) 0.20 shares of Peoples common stock or (iii) a combination consisting of cash for 40% and shares of Peoples common stock for 60% of each share of Heritage.
2. In the merger of Heritage and Peoples, each outstanding option to purchase Heritage common stock was converted to an option to purchase Peoples common stock on substantially the same terms, except that the number of options was adjusted by multiplying the number of Heritage options by 0.20, the exercise price was adjusted by dividing the Heritage exercise price by 0.20, and the options became immediately exercisable at the effective time of the merger and will remain exercisable until the expiration date of the option.
/s/ William M. Foshee 01/04/2005
** 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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