0000845030-20-000003.txt : 20200716 0000845030-20-000003.hdr.sgml : 20200716 20200716111442 ACCESSION NUMBER: 0000845030-20-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200716 DATE AS OF CHANGE: 20200716 EFFECTIVENESS DATE: 20200716 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST STATE BANCSHARES INC CENTRAL INDEX KEY: 0000845030 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 430492450 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-371174 FILM NUMBER: 201031057 BUSINESS ADDRESS: STREET 1: 201 E. COLUMBIA STREET CITY: FARMINGTON STATE: MO ZIP: 63640 BUSINESS PHONE: 5737053349 MAIL ADDRESS: STREET 1: 201 E. COLUMBIA STREET CITY: FARMINGTON STATE: MO ZIP: 63640 D 1 primary_doc.xml X0708 D LIVE 0000845030 FIRST STATE BANCSHARES INC 201 E. COLUMBIA STREET FARMINGTON MO MISSOURI 63640 5737053349 MISSOURI None None Corporation true Keith Wade 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director Greg Allen 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director John Denkler 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director Donald Thompson 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Chris Wigger 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Don Gann 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Kelly Legan 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director Kraig Sutherland 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Dan Combs 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Sara Colantuono 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Jennifer C Lee 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Matthew Sebastian 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director James Eaton 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Teresa Grindstaff 201 E. Columbia Street Farmington MO MISSOURI 63640 Executive Officer Director Richard Francis 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Kevin Cook 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Dennis Bohnert 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Scott Breckenkamp 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Brad Schuster 201 E. Columbia Street Farmington MO MISSOURI 63640 Director Commercial Banking Decline to Disclose 06b false 2020-07-01 true true true Common stock of the issuer was issued as a portion of the consideration for the purchase of an insurance company, with a portion of the stock to be issued in the future as an earn-out payment. 0 Indefinite 1800000 Indefinite $1.8 mil of common stock (book value of the stock as of 6/30/30) was sold at the closing of the purchase of the insurance company; the amount remaining to be sold depends on the earn-out payment under the terms of the merger agreement to be paid in 5/22. false 1 0 0 0 false FIRST STATE BANCSHARES INC Keith Wade Keith Wade Executive Vice President and Chief Financial Officer 2020-07-16