-----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, Qru7QuZpI0O26lmT0w8lwLiF/lQP3BFFA7grQ7lcK0LR/a10Rw1/u7cXi8LC7VnH oRL0K2w91S94ZiATyDVyxA== 0001185899-04-000001.txt : 20040413 0001185899-04-000001.hdr.sgml : 20040413 20040413202049 ACCESSION NUMBER: 0001185899-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040331 FILED AS OF DATE: 20040413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARBAHAL JOHN CENTRAL INDEX KEY: 0001185899 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30707 FILM NUMBER: 04731563 BUSINESS ADDRESS: STREET 1: P O BOX 547 CITY: DIXON STATE: CA ZIP: 95620 BUSINESS PHONE: 707 678 3041 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST NORTHERN COMMUNITY BANCORP CENTRAL INDEX KEY: 0001114927 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 680450397 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 195 N FIRST STREET CITY: DIXON STATE: CA ZIP: 95620 BUSINESS PHONE: 7076784422 MAIL ADDRESS: STREET 1: 195 N FIRST STREET CITY: DIXON STATE: CA ZIP: 95620 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-03-31 0001114927 FIRST NORTHERN COMMUNITY BANCORP FNRN 0001185899 CARBAHAL JOHN P.O. BOX 547 195 N. FIRST STREET DIXON CA 95620 1 0 0 0 Common Stock 2004-03-31 4 J 0 302 27.00 A 5341 D Common Stock 2004-03-31 4 J 0 27 27.00 A 491 D Common Stock 2004-03-31 4 J 0 27 27.00 A 491 I IRA for Spouse Debbie Carbahal held w/UBS Financial Common Stock 2004-03-31 4 J 0 599 27.00 A 10585 I Carbahal & Co. Annual Accumulation 50% Owner Annual Dividend as reported in SEC Proxy Filing DEF 14A on 3/18/2004. Lynn Campbell, AVP/Corporate Secretary w/POA 2004-04-13 -----END PRIVACY-ENHANCED MESSAGE-----