-----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, HzdR3Dp488ADUNRSz9qsvE2G9HHvKDBaX5Rrv+JCqoiXxn8By+XS+YBMUWs2lWC1 E4ONJf6iOyJsX6O9x5elOw== 0001181431-04-048045.txt : 20041019 0001181431-04-048045.hdr.sgml : 20041019 20041019161306 ACCESSION NUMBER: 0001181431-04-048045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041019 FILED AS OF DATE: 20041019 DATE AS OF CHANGE: 20041019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH CLARK R CENTRAL INDEX KEY: 0001252662 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32625 FILM NUMBER: 041085447 MAIL ADDRESS: STREET 1: 24 DARTMOUTH STREET CITY: BEVERLY STATE: MA ZIP: 01915 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BEVERLY NATIONAL CORP CENTRAL INDEX KEY: 0000742275 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 042832201 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 240 CABOT ST CITY: BEVERLY STATE: MA ZIP: 01915 BUSINESS PHONE: 9789222100 MAIL ADDRESS: STREET 1: 240 CABOT ST CITY: BEVERLY STATE: MA ZIP: 01915 4 1 rrd55147.xml X0202 4 2004-10-19 0 0000742275 BEVERLY NATIONAL CORP BVNC 0001252662 SMITH CLARK R 11 DODGES ROW WENHAM MA 01984 1 0 0 0 Common Stock 2004-10-19 4 M 0 315 5.67 A 9120 D Common Stock 2004-10-19 4 M 0 1835 7.29 A 10955 D Common Stock Options(right to buy) 7.29 2004-10-19 4 M 0 1835 7.29 D 2004-08-01 2006-02-05 Common Stock 1835 1000 D Common Stock Options(right to buy) 8.21 2004-08-01 2007-01-06 Common Stock 924 924 D Common Stock Options(right to buy) 13.40 2004-08-01 2009-06-21 Common Stock 945 945 D Common Stock Options(right to buy) 5.67 2004-10-19 4 M 0 315 5.67 D 2004-08-01 2005-03-27 Common Stock 315 0 D Clark R. Smith pursuant to POA dated 6/24/2003 by Peter E. Simonsen 2004-10-19 -----END PRIVACY-ENHANCED MESSAGE-----