-----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, Iq0kBWxjx6rAQq/P+2JrGUm+5pCkvcc1PS7DcYuj4efhzpwswdar5DJCtzmyIFAo CPMZZ/AO2LaCzAWDLEJorg== 0001181431-04-024320.txt : 20040505 0001181431-04-024320.hdr.sgml : 20040505 20040505152144 ACCESSION NUMBER: 0001181431-04-024320 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040428 FILED AS OF DATE: 20040505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUNGAN WILLIS W CENTRAL INDEX KEY: 0001270218 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15375 FILM NUMBER: 04781336 MAIL ADDRESS: STREET 1: P O BOX 686 CITY: PHILADELPHIA STATE: MS ZIP: 39350 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS HOLDING CO /MS/ CENTRAL INDEX KEY: 0001075706 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 640666512 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 209 CITY: PHILADELPHIA STATE: MS ZIP: 39350 BUSINESS PHONE: 6016564692 MAIL ADDRESS: STREET 1: P O BOX 209 CITY: PHILADELPHIA STATE: MS ZIP: 39350 4 1 rrd41591.xml X0202 4 2004-04-28 0 0001075706 CITIZENS HOLDING CO /MS/ CIZ 0001270218 DUNGAN WILLIS W P. O. BOX 686 PHILADELPHIA MS 39350 1 0 0 0 Stock Option 22.25 2004-04-28 4 A 0 1500 22.25 A 2004-10-29 2004-04-28 Common Stock 1500 1500 D Willis W. Dungan by Robert T. Smith, Attorney-in-Fact 2004-05-05 -----END PRIVACY-ENHANCED MESSAGE-----