-----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, T6b1RiRzC+TJNjw031Jj8FLgNpmBo20tH7ncGOCYKdlnJ5i4q/R5wZsCNYOsvSYO FseQsyATx3aeluZ6LXolpw== 0001249371-04-000004.txt : 20040810 0001249371-04-000004.hdr.sgml : 20040810 20040810113917 ACCESSION NUMBER: 0001249371-04-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040806 FILED AS OF DATE: 20040810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALFORD C DEAN CENTRAL INDEX KEY: 0001249379 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24113 FILM NUMBER: 04963526 BUSINESS ADDRESS: STREET 1: 1555 REAGAN CIRCLE CITY: CONYERS STATE: GA ZIP: 30012 BUSINESS PHONE: 7707857880 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIBERTY NATIONAL BANCSHARES INC CENTRAL INDEX KEY: 0001036757 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 582292563 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PO BOX 82030 CITY: CONYERS STATE: GA ZIP: 30208 BUSINESS PHONE: 7707607573 MAIL ADDRESS: STREET 1: PO BOX 82030 STREET 2: PO BOX 82030 CITY: CONYERS STATE: GA ZIP: 30208 FORMER COMPANY: FORMER CONFORMED NAME: ROCKDALE NATIONAL BANCSHARES INC DATE OF NAME CHANGE: 19970328 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-08-06 0 0001036757 LIBERTY NATIONAL BANCSHARES INC NONE 0001249379 ALFORD C DEAN 1555 REAGAN CIRCLE CONYERS GA 30012 1 0 0 0 Common Stock 2004-08-06 4 M 0 10000 5 A 0 D Common Stock 2004-08-06 4 M 0 1000 5.5 A 0 D Common Stock 2004-08-06 4 M 0 1000 6 A 0 D Common Stock 2004-08-06 4 M 0 1000 6.25 A 0 D Common Stock 2004-08-06 4 M 0 1000 7.5 A 0 D Common Stock 2004-08-06 4 M 0 1000 7.5 A 15000 D Common Stock 1998-08-08 4 P 0 0 0 A 50000 I Jointly Held with Spouse Stock Option (Right to Buy) 5 2004-08-06 4 M 0 10000 0 D Common Stock 10000 0 D Stock Option (Right to Buy) 5.5 2004-08-06 4 M 0 1000 0 D Common Stock 1000 0 D Stock Option (Right to Buy) 6 2004-08-06 4 M 0 1000 0 D Common Stock 1000 0 D Stock Option (Right to Buy) 6.25 2004-08-06 4 M 0 1000 0 D Common Stock 1000 0 D Stock Option (Right to Buy) 7.5 2004-08-06 4 M 0 1000 0 D Common Stock 1000 0 D Stock Option (Right to Buy) 7.5 2004-08-06 4 M 0 1000 0 D Common Stock 1000 0 D This row reflects indirect ownership which has not changed as a result of the transactions reported on this form. Dummy entry as required by software error. The amount of shares beneficially owned has been reflected to give effect to the 2 for 1 stock split effected on August 15, 2002. The options expire on the earlier of (i) the tenth anniversary of the date of grant (7/2/98) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. The options expire on the earlier of (i) the tenth anniversary of the date of grant (2/24/99) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. The options expire on the earlier of (i) the tenth anniversary of the date of grant (1/25/00) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. The options expire on the earlier of (i) the tenth anniversary of the date of grant (2/27/01) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. The options expire on the earlier of (i) the tenth anniversary of the date of grant (2/26/02) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. The options expire on the earlier of (i) the tenth anniversary of the date of grant (3/26/02) or (ii) the first anniversary of the date that the optionee ceases service on the Board of Directors for reasons other than death or disability. Immediately exerciseable. /s/ C. Dean Alford 2004-08-10 -----END PRIVACY-ENHANCED MESSAGE-----