-----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, UnsP82gxPy4Z0vaajxARRAf4W5Hbxa84H21OxrSbaJPxNjZp5pbaLlSMi0rQjIcp Daqn6rIROAqdZtQOBCorJg== 0001127602-10-020879.txt : 20100809 0001127602-10-020879.hdr.sgml : 20100809 20100809085553 ACCESSION NUMBER: 0001127602-10-020879 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100805 FILED AS OF DATE: 20100809 DATE AS OF CHANGE: 20100809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PRISBY THOMAS F CENTRAL INDEX KEY: 0001208184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24611 FILM NUMBER: 101000052 MAIL ADDRESS: STREET 1: 707 RIDGE ROAD CITY: MUNSTER STATE: IN ZIP: 46321 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CFS BANCORP INC CENTRAL INDEX KEY: 0001058438 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 332042093 STATE OF INCORPORATION: IN FISCAL YEAR END: 0727 BUSINESS ADDRESS: STREET 1: 707 RIDGE ROAD CITY: MUNSTER STATE: IN ZIP: 46321 BUSINESS PHONE: 2198365500 MAIL ADDRESS: STREET 1: 707 RIDGE ROAD CITY: MUNSTER STATE: IN ZIP: 46321 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2010-08-05 0001058438 CFS BANCORP INC CITZ 0001208184 PRISBY THOMAS F 707 RIDGE ROAD MUNSTER IN 46321 1 1 Chief Executive Officer Common Stock 2010-08-05 4 D 0 4839 0 D 56688 I By Adult Child Common Stock 141332 D Common Stock 19240 I 401(k) Common Stock 683 I By Spouse Common Stock 22878 I ESOP Common Stock 7580 I IRA Common Stock 2000 I Private Foundation Common Stock 0 I Serp Common Stock 27269 I Trust Of Spouse Represents the forfeiture of shares of unvested restricted common stock previously awarded to Mr. Prisby's adult daughter pursuant to the issuer's Omnibus Equity Incentive Plan. Shares held in account held solely in name of adult daughter. Mr. Prisby disclaims any and all beneficial and pecuniary interest in all of the shares held in such account. /s/ Monica F. Sullivan, attorney-in-fact for Thomas F. Prisby 2010-08-09 -----END PRIVACY-ENHANCED MESSAGE-----