-----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, MZMnDl2+5/uuHk/KczuD8gaJDoN5XeA2QuQNfKWVLL8dX0a7h7KFFMtgBgxvO760 j2H8z4ds8o/IVC/7boQY3w== 0000914317-04-000021.txt : 20040105 0000914317-04-000021.hdr.sgml : 20040105 20040105083158 ACCESSION NUMBER: 0000914317-04-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADSEN GEORGE M CENTRAL INDEX KEY: 0001243645 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28815 FILM NUMBER: 04501933 MAIL ADDRESS: STREET 1: PO BOX 893 CITY: WOODBURY STATE: CT ZIP: 06798 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST LITCHFIELD FINANCIAL CORP CENTRAL INDEX KEY: 0000840886 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 061241321 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 13 NORTH ST STREET 2: P O BOX 578 CITY: LITCHFIELD STATE: CT ZIP: 06759 BUSINESS PHONE: 2035678752 MAIL ADDRESS: STREET 1: 13 NORTH STREET STREET 2: PO BOX 578 CITY: LITCHFIELD STATE: CT ZIP: 06759 4 1 form4-madson_ex.xml X0201 4 2004-01-02 0 0000840886 FIRST LITCHFIELD FINANCIAL CORP FLFL 0001243645 MADSEN GEORGE M PO BOX 893 WOODBURY CT 06798 1 0 0 0 Common Stock 2004-01-02 4 M 0 963 5.29 A 14669 D Common Stock 2004-01-02 4 M 0 520 6.14 A 15189 D Options 5.29 2004-01-02 4 M 0 963 5.29 D 1994-05-04 2004-05-04 Common Stock 917 0 D Options 6.14 2004-01-02 4 M 0 520 6.14 D 1995-06-01 2005-06-01 Common Stock 520 0 D Options 0 2004-01-02 4 D 0 0 8.41 D 1997-06-01 2006-06-01 Common Stock 520 520 D Options 0 2004-01-02 4 D 0 0 9.33 D 1998-06-01 2007-06-01 Common Stock 520 520 D Options 0 2004-01-02 4 D 0 0 13.12 D 1999-06-01 2008-06-01 Common Stock 520 520 D Note: Amounts listed include five (5) per cent stock dividend or 652 shares paid on December 31, 2003. /s/ George M. Madsen 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----