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*
VEST DAVID

(Last) (First) (Middle)
601 WEST MARKET STREET

(Street)
LOUISVILLE KY 40202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/15/2004
3. Issuer Name and Ticker or Trading Symbol
REPUBLIC BANCORP INC /KY/ [ RBCAA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
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)
Class A Common Stock 35,626 D
Class A Common Stock 8,075 I Held in 401(k) plan
Class A Common Stock 1,167.4207 I Held in ESOP
Class A Common Stock 700 I Held by son
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
Employee Stock Option, Right to Purchase 08/01/2004 07/31/2005 Class A Common Stock 3,750 $13 D
Employee Stock Option, Right to Purchase 12/28/2005 12/27/2006 Class A Common Stock 12,000 $5.88 D
Employee Stock Option, Right to Purchase 12/28/2006 12/27/2007 Class A Common Stock 12,000 $5.88 D
Employee Stock Option, Right to Purchase 01/26/2006 01/25/2007 Class A Common Stock 3,750 $6.81 D
Employee Stock Option, Right to Purchase 04/11/2007 04/10/2008 Class A Common Stock 10,000 $10.6 D
Employee Stock Option, Right to Purchase 04/11/2008 04/10/2009 Class A Common Stock 10,000 $10.6 D
Class B Common Stock (1) (2) Class A Common Stock(3) 140 $0 I Held by son
Class B Common Stock (1) (2) Class A Common Stock(3) 1,715 $0 I Held in 401(k) plan
Explanation of Responses:
1. Immediate
2. None
3. Class B Common Stock is convertible into Class A Common Stock on a share for share basis.
/s/ David Vest 01/15/2004
** 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.