Director's Dealing • Mar 12, 2003
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Download Source File4/A 1 sheaffe.htm PAT SHEAFFER FORM 4/A
| FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
|---|---|---|
| [ ] Check box if no longer subject | OMB Number: 3235-0287 | |
| to Section 16. Form 4 or Form | STATEMENT OF CHANGES IN BENEFICIAL | |
| OWNERSHIP | Expires: January 31, 2005 | |
| 5 obligations may | ||
| continue. See Instruction 1(b) | Estimated average burden hours per | |
| response....................0.5 | ||
| (Print or Type | ||
| Responses) | 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(f) of the Investment Company Act of 1940 |
| 1. Name and Address of Reporting Person* Sheaffer, Pat | 2. Issuer Name and Ticker or Trading Symbol Riverview Bancorp, Inc. RVSB | 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title Other (specify below) below) President & CEO | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| (Last) | ||||||||||
| (First) | ||||||||||
| (Middle) 19320 NE 6th Street | 3. IRS Identification | |||||||||
| Number of Reporting | ||||||||||
| Person, if an entity (voluntary) ###-##-#### | 4. Statement for Month/Day/Year 3/11/03 | |||||||||
| (Street) Camas, WA 98607 | 5. If Amendment, Date of Original | |||||||||
| (Month/Year) 3/03 | 7. Individual or Joint/Group Reporting (check applicable line) XX 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 | ||||||||||
| (Instr. 3) | 2. Trans-action 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 Transaction (s) (Instr. 3 and 4) | 6. Owner-ship 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 | 3/7/03 | 3/7/03 | M | 15,760 | A | $2.82 | 237,194 | D | - |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (3-99) 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.
FORM 4 (continued) 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. Con-version or
Exercise
Price of
Derivative
Security | 3. Trans-action
Date (Month/ Day/Year) | 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/Year) | | 7. Title and Amount of
Underlying Securities
(Instr. 3 and 4) | | 9. Number of
Deriva-tive Se-curities Benefici- ally Owned Following Reported Trans-action(s) (Instr.
4) | 10.
Owner-ship Form of
Deri-vative Security:
Direct
(D) or
Indirect
(I) (Instr. 4) |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| | | | Code | V | (A) | (D) | Date
Exer-cisable | Expiration
Date | Title | Amount or Number of
Shares | | |
| Stock Option | 2.82 | 3/7/03 | *J | | | 15,760 | 10/22/93 | 10/22/03 | Common Stock | 15,760 | 41,227 | D |
Explanation of Responses: * Exercise of Stock Option granted in transaction exempt under old Rule 16b-3.
/s/Pat Sheaffer 3/11/03 ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. ** Signature of Reporting Person Date See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
Note: File three copies of this Form, one of which must be manually signed. If space provided 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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