-----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, MamrUBJABfWLl5oFjlmu05rkK3pd2P+EywkgqY3QZBhJsMMrotoNTUS+j1ElFnLj yUqJrInSKd3UK0lcrcuZfQ== 0000896595-07-000375.txt : 20070910 0000896595-07-000375.hdr.sgml : 20070910 20070910175328 ACCESSION NUMBER: 0000896595-07-000375 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070910 FILED AS OF DATE: 20070910 DATE AS OF CHANGE: 20070910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petersen John CENTRAL INDEX KEY: 0001304116 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23881 FILM NUMBER: 071109562 BUSINESS ADDRESS: BUSINESS PHONE: 503-221-4813 MAIL ADDRESS: STREET 1: 1300 SW FIFTH AVENUE STREET 2: SUITE 2075 CITY: PORTLAND STATE: OR ZIP: 97201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COWLITZ BANCORPORATION CENTRAL INDEX KEY: 0000894267 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 911529841 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 927 COMMERCE AVE CITY: LONGVIEW STATE: WA ZIP: 98632 BUSINESS PHONE: 2064239800 MAIL ADDRESS: STREET 1: 927 COMMERCE AVENUE CITY: LONGVIEW STATE: WA ZIP: 98632 4 1 pet69.xml X0202 4 2007-09-10 0 0000894267 COWLITZ BANCORPORATION CWLZ 0001304116 Petersen John 927 COMMERCE AVENUE LONGVIEW WA 98632 1 0 0 0 Common Stock 2007-09-10 4 P 0 1000 13.10 A 2000.00 I By IRA Common Stock 415.00 D Stock Option (right to buy) 10.77 2004-09-24 2014-09-24 Common Stock 10000.00 10000.00 D By: Cliff E. Spencer, Attorney in Fact for 2007-09-10 -----END PRIVACY-ENHANCED MESSAGE-----