Epic Bancorp - Statement of Changes in Beneficial Ownership (4)
13 6월 2008 - 4:29AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
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1. Name and Address of Reporting Person
*
Smith Richard
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2. Issuer Name
and
Ticker or Trading Symbol
Epic Bancorp
[
EPIK
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
630 LAS GALLINAS AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/9/2008
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(Street)
SAN RAFAEL, CA 94903
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common stock
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96300
(1)
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I
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Trust Rev
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Common Stock
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2140
(2)
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I
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Spouse IRA
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Non-employee Stock Options
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$10.00
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8/8/2004
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8/8/2013
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Common Stock
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5000
(3)
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5000
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D
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Non-Employee Stock Options
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$13.00
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6/21/2005
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6/21/2014
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Common Stock
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10000
(3)
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10000
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D
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Non-employee Stock Options
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$15.31
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7/19/2006
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7/19/2015
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Common Stock
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5000
(3)
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5000
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D
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Non-Employee Stock Options
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$11.26
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1/25/2009
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1/25/2018
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Common Stock
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2500
(3)
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2500
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D
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Non-Employee Stock Options
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$12.35
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6/11/2008
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A
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2500
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6/11/2009
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6/11/2018
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Common Stock
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2500
(3)
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$12.35
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2500
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D
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Explanation of Responses:
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(
1)
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Owned through the Richard E Smith and Patricia A Smith Revocable Intervivos Trust
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(
2)
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Purchased in the Patricia A. Smith IRA
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(
3)
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Vests 20% on the Date Excercisable and 20% on each anniversary of the Date Excercisable.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Smith Richard
630 LAS GALLINAS AVENUE
SAN RAFAEL, CA 94903
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X
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Signatures
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Richard E. Smith
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6/12/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who 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.
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