-----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, LrQ9l4N7RXtGQsRaTGxeCnrtqny0VwoduDf3OMWYBIeuFaW6nnwBEKGoy3nl5vyK pUJf21a2WD8KiRWlrCj5ig== 0001185942-05-000001.txt : 20050105 0001185942-05-000001.hdr.sgml : 20050105 20050105192359 ACCESSION NUMBER: 0001185942-05-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050104 FILED AS OF DATE: 20050105 DATE AS OF CHANGE: 20050105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FISH DONALD J CENTRAL INDEX KEY: 0001185942 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30707 FILM NUMBER: 05514242 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 X0202 4 2005-01-04 0001114927 FIRST NORTHERN COMMUNITY BANCORP FNRN 0001185942 FISH DONALD J P.O. BOX 547 195 N. FIRST STREET DIXON CA 95620 0 1 0 0 SVP/Senior Credit Officer Common Stock 2005-01-04 4 F 0 2287 28.95 D 12885 D Common Stock 2005-01-04 4 M 0 6512 10.17 A 19397 D Common Stock 2005-01-04 4 F 0 4930 28.95 D 14467 D Common Stock 2005-01-04 4 M 0 10605 13.46 A 25072 D Common Stock 2005-01-04 4 F 0 3012 28.95 D 22060 D Common Stock 2005-01-04 4 M 0 3995 21.83 A 26055 D Employee Stock Option (Right to Buy) 10.17 2005-01-04 4 M 0 6512 10.17 A 2010-01-03 Common Stock 6512 6512 D Employee Stock Option (Right to Buy) 13.46 2005-01-04 4 M 0 10605 13.46 A 2011-01-02 Common Stock 10605 17117 D Employee Stock Option (Right to Buy) 21.83 2005-01-04 4 M 0 3995 21.83 A 2012-01-02 Common Stock 3995 21112 D Swapped 2,287 shares @$28.95 to exercise Option to purchase 6,512 shares @$10.17. Stock Options vest 20% upon their grant and 20% vest annually over 4 years. Swapped 4,930 shares @$28.95 to exercise Option to purchase 10,605 shares @$13.46. Swapped 3,012 shares @$28.95 to exercise Option to purchase 3,995 shares @$21.83. Lynn Campbell, AVP/Corporate Secretary w/POA 2005-01-05 -----END PRIVACY-ENHANCED MESSAGE-----