-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BdG6MVDfLcLcQqT/NGvNL+6AydsKk8BDB35Wt/X3czCfeaYrEDbu6xcXokI4nHWy UX1t08utyXFuB/aGxJ08tA== 0001179110-04-001097.txt : 20040113 0001179110-04-001097.hdr.sgml : 20040113 20040113162212 ACCESSION NUMBER: 0001179110-04-001097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040110 FILED AS OF DATE: 20040113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PRUETT CARROL R CENTRAL INDEX KEY: 0001198886 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23925 FILM NUMBER: 04522955 BUSINESS ADDRESS: STREET 1: MID-STATE BANCSHARES STREET 2: POST OFFICE BOX 580 CITY: ARROYO GRANDE STATE: CA ZIP: 93421-0580 MAIL ADDRESS: STREET 1: MID-STATE BANCSHARES STREET 2: POST OFFICE BOX 580 CITY: ARROYO GRANDE STATE: CA ZIP: 93421-0580 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MID-STATE BANCSHARES CENTRAL INDEX KEY: 0001027324 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 770442667 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1026 GRAND AVE CITY: ARROYO GRANDE STATE: CA ZIP: 93420 BUSINESS PHONE: 8054737700 MAIL ADDRESS: STREET 1: 1026 GRAND AVE CITY: ARROYO GRANDE STATE: CA ZIP: 93420 FORMER COMPANY: FORMER CONFORMED NAME: MID STATE BANCSHARES DATE OF NAME CHANGE: 19980820 FORMER COMPANY: FORMER CONFORMED NAME: BSM BANCORP DATE OF NAME CHANGE: 19961121 4 1 edgar.xml FORM 4 - X0201 4 2004-01-10 0 0001027324 MID-STATE BANCSHARES MDST 0001198886 PRUETT CARROL R 1026 EAST GRAND AVENUE ARROYO GRANDE CA 93420 1 0 0 0 Common Stock 16.6250 2004-01-10 4 J 0 20000 16.6250 A 2002-01-10 2011-01-10 Common Stock 100000 60000 I By Company Incentive Stock Option (right to buy) - 100,000 shares granted as an ISO under the Company's 1996 Stock Option Plan. 12,028 shares issued as an ISO and due to the $100K limitation, remaining 87,972 shares issued and treated as a non-qualified stock option. The Non-Qualified portion of this grant is vesting an additional 20,000 shares; the ISO portion of this grant currently does not have any shares available for exercise. Shares granted at fair market value. Non-Qualified Stock Option granted January 10, 2001 vested an additional 20,000 on January 10, 2004, increasing Mr. Pruett's available shares for exercise to 60,000 shares. These shares have not yet been acquired through the exercise of the option. The Incentive Stock Option and the Non-Qualified Option granted January 10, 2001 vest 20% per year on the anniversary date of the grant for five (5) years at which time the option becomes 100% vested. Optionee has another five (5) years from the 100% vesting anniversary date to exercise the shares in accordance with the terms and conditions of the Company's 1996 Stock Option Plan. To date, no shares under these grants have been exercised. Additional shares becoming vested under the Non-Qualified grant and available for exercise by Mr. Pruett at the exercise price of $16.6250 per share. The ISO grant currently does not have any shares available for exercise. Shares granted to Mr. Pruett by Company on January 10, 2001. Carrol R. Pruett 2004-01-13 -----END PRIVACY-ENHANCED MESSAGE-----