FORM 5 o Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). o Form 3 Holdings Reported ý Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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(h) of the Investment Company Act of 1940 |
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| 1. | Name and Address of Reporting Person* | 2. | Issuer Name and Ticker or Trading Symbol | 6. | Relationship of Reporting Person(s) to Issuer (Check all applicable) |
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| Clark | Harold | W. | First Community Bancorp (FCBP) | X Director | 10% Owner | |||||||||||||||
| (Last) | (First) | (Middle) | 3. | I.R.S Identification Number of Reporting Person, if an entity (voluntary) | 4. | Statement for Month/Year | Officer (give title below) |
Other (specify below) |
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| 6110 El Tordo | December 31, 2002 | |||||||||||||||||||
| (Street) | 5. | If Amendment, Date of Original (Month/Year) | 7. | Individual or Joint/Group Reporting (check applicable line) X Form Filed by One Reporting Person Form Filed by More than |
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| Rancho Santa Fe | California | 92067 | One Reporting Person | |||||||||||||||||
| (City) | (State) | (Zip) | ||||||||||||||||||
| Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||||||||||||
| 1. | Title of Security (Instr. 3) |
2. | Transaction 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 at the end of Issuer's Fiscal Year | 6. | Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. | Nature of Indirect Beneficial Ownership (Instr. 4) |
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| (Instr. 3 and 4) | ||||||||||||||||||||||||||||||||||||
| Amount | (A) or (D) | Price | ||||||||||||||||||||||||||||||||||
| Common Stock | 04-04-02 | P | 6,000 | A | $19.25 | 6,000 | I | By the Trustee of the Simmtron Profit Sharing Plan FBO Harold W. Clark | ||||||||||||||||||||||||||||
| Common Stock | 01-15-02 (1) | P | 560 | A | $19.25 | 560 | I | By the Trustee of the FCBP Deferred Compensation Plan | ||||||||||||||||||||||||||||
| Common Stock | 03-16-01 (1) | P | 197 | A | $17.375 | 197 | I | By the Trustee of the FCBP Deferred Compensation Plan | ||||||||||||||||||||||||||||
| Common Stock | 2,657 | I | By the Trustee of the FCBP Deferred Compensation Plan | |||||||||||||||||||||||||||||||||
| Common Stock | 53,600 | D | ||||||||||||||||||||||||||||||||||
*If the form is filed by more than one reporting person, see Instruction 4(b)(v).
| FORM 5 (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. | Conversion or Exercise Price of Derivative Security | 3. | Transaction Date (Month/Day/Year) |
3A. | Deemed Execution Date, if any (Month/Day/Year) |
4. | Transaction 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) | |||||||||||||||||||
| (A) | (D) | Date Exercisable | Expiration Date | |||||||||||||||||||||||||||||
| 7. | Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. | Price of Derivative Security (Instr. 5) |
9. | Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) |
10. | Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. | Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Title | Amount or Number of Shares | |||||||||||||||||||
Explanation of Responses:
| /s/ Harold W. Clark By Richard E. Knect his attorney-in-fact |
02-14-03 |
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**Signature of Reporting Person |
Date |
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. 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.
http://www.sec.gov/divisions/corpfin/forms/form5.htm
Last update: 09/03/2002
The undersigned hereby constitutes and appoints each of Jared M. Wolff, Lynn M. Hopkins and Richard E. Knecht, signing singly, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of First Community Bancorp (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules promulgated thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 30th day of October, 2002.
| /s/ Harold W. Clark Harold W. Clark |