-----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, NPHBtCiN9TGfQ0oPjqaZ4PPkZjivi2nA2HmmvBx1xTPYHiBv41VH3EAMfDEXhol2 aPBmaQW7ghtAiy3pJdzM7A== 0001209191-04-010028.txt : 20040213 0001209191-04-010028.hdr.sgml : 20040213 20040213191711 ACCESSION NUMBER: 0001209191-04-010028 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EXCHANGE NATIONAL BANCSHARES INC CENTRAL INDEX KEY: 0000893847 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431626350 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 BUSINESS PHONE: (573)761-6100 MAIL ADDRESS: STREET 1: P.O. BOX 688 CITY: JEFFERSON CITY STATE: MO ZIP: 65102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUEGENHEMKE KATHLEEN L CENTRAL INDEX KEY: 0001196019 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23636 FILM NUMBER: 04601672 BUSINESS ADDRESS: STREET 1: 5859 ROCKY POINT COURT CITY: COLUMBIA STATE: MO ZIP: 65202 BUSINESS PHONE: 5737616100 MAIL ADDRESS: STREET 1: 5859 ROCKY POINT COURT CITY: COLUMBIA STATE: MO ZIP: 65202 5 1 bsl82977_bmk1klb.xml MAIN DOCUMENT DESCRIPTION X0201 5 2003-12-31 0 0 0 0000893847 EXCHANGE NATIONAL BANCSHARES INC EXJF 0001196019 BRUEGENHEMKE KATHLEEN L 5859 ROCKY POINT COURT COLUMBIA MO 65202 0 1 0 0 Secretary and Senior VP Common Stock 2003-12-31 5 A 0 74.5546 A 4279.4742 I See Footnote Common Stock 300 D Employee Stock Options (right to buy) 16.33 2010-12-04 Common Stock 2256 2256 D Employee Stock Options (right to buy) 18.67 2012-02-14 Common Stock 2038 2038 D Employee Stock Options (right to buy) 26.57 2003-03-03 5 A 0 1461 26.57 A 2013-03-03 Common Stock 1461 1461 D The shares were acquired since the date of the last report pursuant to Exchange National Profit Sharing Trust. The information reported herein is based on allocation report as of 12/31/2003 and reflect 1,401.6399 shares acquired from the 7/15/03 3 for 2 stock split. The shares reported include 100 shares acquired from the 7/15/03 3 for 2 stock split. 25%/yr. Beginning 12/4/01. The options reported reflect inclusion of 752; 679 and 487 options acquired as a result of the 7/15/03 3 for 2 stock split for the 2000, 2002 and 2003 grants respectively. 25%/yr. Beginning 2/14/03. 25%/yr. Beginning 3/03/04. Kathleen L. Bruegenhemke 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----