-----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, WfZ4ry5kPUQ3T8KASRlAyTrzlAFAexl4ZqqRUnfV/FytO/X1BtCGRWf46Tt3o+zH qjY41NkcCZS34dC5ke7xTQ== 0001181431-04-025588.txt : 20040512 0001181431-04-025588.hdr.sgml : 20040512 20040512155029 ACCESSION NUMBER: 0001181431-04-025588 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040512 FILED AS OF DATE: 20040512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fulton Don Lowell CENTRAL INDEX KEY: 0001289864 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15375 FILM NUMBER: 04799437 BUSINESS ADDRESS: BUSINESS PHONE: 601 656-8153 MAIL ADDRESS: STREET 1: 207 WOODBRIAR LANE 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 rrd42388.xml X0202 4 2004-05-12 0 0001075706 CITIZENS HOLDING CO /MS/ CIZ 0001289864 Fulton Don Lowell 207 WOODBRIAR LANE PHILADELPHIA MS 39350 1 0 0 0 Stock Option 22.25 2004-04-28 4 A 0 1500 22.25 A 2004-10-29 2014-04-28 Common Stock 1500 1500 D Don Lowell Fulton by Robert T. Smith, Attorney-in-fact 2004-05-12 -----END PRIVACY-ENHANCED MESSAGE-----