SEC Form 4 · accession 0001214659-16-014213
GREAT SOUTHERN BANCORP, INC. · GSBC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas J Carlson
Director
Period of report
Oct 14, 2016
Accepted (ET)
Oct 26, 2016 · 11:43 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000854560
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Oct 14, 2016 | J | 70 | $40.976 | A | 13,045 | I | Spouse |
| Common stock | holding | — | — | — | 100 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to purchase | $41.30 | Oct 24, 2016 | A | 500 | A | Oct 24, 2018 | Oct 24, 2026 | Common Stock | 500 | 500 | D |
| Option to purchase | $41.30 | Oct 24, 2016 | A | 500 | A | Oct 24, 2019 | Oct 24, 2026 | Common Stock | 500 | 1,000 | D |
| Option to purchase | $41.30 | Oct 24, 2016 | A | 500 | A | Oct 24, 2020 | Oct 24, 2026 | Common Stock | 500 | 1,500 | D |
| Option to purchase | $41.30 | Oct 24, 2016 | A | 500 | A | Oct 24, 2021 | Oct 24, 2026 | Common Stock | 500 | 2,000 | D |
| Option to purchaseF2 | $32.59 | holding | — | — | — | — | Oct 15, 2024 | Common stock | 5,000 | 7,000 | D |
Explanation of responses
- F1DRIP acquisition exempt from Section 16 reporting being reported voluntarily
- F21,250 shares vest on 10/15/2016, 10/15/2017, 10/15/2018 and 10/15/2019