-----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, GwvHN/i69p4BfHQqgK8LK/O/ZsY9gfPV555h7XkVudhxd1sv5GR6zZwVxafCbqUG Kn7roWxHZ9SjTPqEEEGe8g== 0000906318-03-000006.txt : 20030103 0000906318-03-000006.hdr.sgml : 20030103 20030103170620 ACCESSION NUMBER: 0000906318-03-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030103 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MILLER A LEE CENTRAL INDEX KEY: 0001202393 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: 4700 JAEGER DR CITY: THORNVILLE STATE: OH ZIP: 43076 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CSB BANCORP INC /OH CENTRAL INDEX KEY: 0000880417 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 341687530 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21714 FILM NUMBER: 03503674 BUSINESS ADDRESS: STREET 1: 6 W JACKSON ST STREET 2: P O BOX 232 CITY: MILLERSBURG STATE: OH ZIP: 44654 BUSINESS PHONE: 3306749015 MAIL ADDRESS: STREET 1: 6 WEST JACKSON STREET CITY: MILLERSBURG STATE: OH ZIP: 44654 4 1 miller123102.htm FORM 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP


Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940


OMB Approval            

OMB Number: 3235-0287

Expires: January 31, 2005

Estimated average burden hours per response….0.5


       Check this box if no longer subject to Section 16.  Form 4 or Form 5 obligations may continue.  See Instruction 1(b).

 


(Print or Type Responses)

  

1.  Name and Address of Reporting Person*


Miller

A.

Lee

2.  Issuer Name and Ticker or Trading Symbol


csbb.ob    CSB Bancorp, Inc.

6.  Relationship of Reporting Person(s) to Issuer

(Check all applicable)


              Director

                  10% Owner

     X       Officer (give title below)

               Other (specify below)


Senior Vice President


(Last)

(First)

(Middle)



5046 Township Road 376

3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)


4.  Statement for Month/Day/Year


December 31, 2002

(Street)


Millersburg

OH

44654

5.  If Amendment, Date of Original Month/Day/Year


7.  Individual or Joint/Group Filing (Check Applicable Line)

       X      Form filed by One Reporting Person

                Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security

     (Inst. 3)

2. Transaction Date (Month/

Day/Year)

2A. Deemed Execution Date, if any (Month/Day/

Year)

3. Transaction Code (Instr. 8)

4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)

5. Amount of Securities Beneficially Owned Following Reported Transactions(s)

(Instr. 3 and 4)

6. Ownership Form:  Direct (D) or Indirect (I) (Instr. 4)

7. Nature of Indirect Beneficial Ownership (Instr. 4)

   

Code

V

Amount

(A) or (D)

Price

   

Common Stock

       

302.0000

D

 

Common Stock

       

*201.0111

I

IRA

Common Stock

       

**1,718.0000

I

401(k) Plan

           
           
           

Reminder:  Report on a separate line for each class of securities beneficially owned directly or indirectly.


*If the form is filed by more than one reporting person, see Instruction 4(b)(v).


Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.



TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Trans-action Date (Month/

Day/Yr)

3A. Deemed Execution Date, if any (Month/

Day/Yr)

4. Trans-action Code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)

6. Date Exercisable and Expiration Date (Month/Day/Yr)

7. Title and Amount of Underlying Securities (Instr. 3 and 4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)

10. Ownership Form of Derivative Security Direct (D) or Indirect (I) (Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

    

Code

V

(A)

(D)

Date Exer-cisable

Expir-ation Date

Title

Amount or Number of Shares

    

Employee Stock Option (Right to Buy)

$16.05

12/31/02

 

A

 

1,000

 

(1)

12/31/12

Common Stock

1,000

 

1,000

D

 
                
                
                
                
                
                
                

Explanation of Responses:  (1)  The option is fully vested as follows:

Years after the Grant Date

Vested Percentage

Years after the Grant Date

Vested Percentage

Less than 1

0%

At Least 4 but less than 5

80%

At Least 1 but less than 2

20%

At Least 5 but no more than 10

100%

At Least 2 but less than 3

40%

At Least 3 but less than 4

60%


*Allocated to reporting person’s account pursuant to a dividend reinvestment feature of

the CSB Bancorp, Inc. Dividend Reinvestment Plan.

**Allocated to reporting person’s account under a plan for The Commercial and Savings Bank

of Millersburg Profit Sharing and 401(k) Savings Retirement Plan.

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations

/s/A. Lee Miller

January 3, 2003


See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)

 

**Signature of Reporting Person

Date

    A. Lee Miller

Note:  File three copies of this Form, one of which must be manually signed.  If space is insufficient,


see Instruction 6 for procedure.



Potential persons who are to respond to the collection of information contained in this form are not


required to respond unless the form displays a currently valid OMB Number.


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