SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BLODNICK MICHAEL J

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
GLACIER BANCORP INC [ GBCI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President/CEO
3. Date of Earliest Transaction (Month/Day/Year)
04/28/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership 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(1)(2)(3) 04/28/2003 J 2,000 D 0 89,134 D
Common Stock(1)(2)(4) 04/28/2003 J 2,000 A 0 55,826 I See footnotes
Common Stock(5) 06/06/2003 G 1,400 D 0 54,426 I See footnotes
Common Stock(6) 06/10/2003 G 150 D 0 54,276 I See footnotes
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) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option(1) 17.082 01/27/1999 A 7,988 01/27/2001 01/27/2004 Common Stock 7,988 $17.082 7,988 D
Option(1) 12.391 01/26/2000 A 3,206 01/26/2002 01/26/2005 Common Stock 3,206 $12.391 3,206 D
Option(1) 12.327 01/31/2001 A 3,107 01/31/2003 01/31/2006 Common Stock 3,107 $12.327 3,107 D
Option(1) 15.909 11/20/2001 A 5,500 11/20/2003 11/20/2006 Common Stock 5,500 $15.909 5,500 D
Option(1) 19.9 01/30/2002 A 2,915 01/30/2004 01/30/2007 Common Stock 2,915 $19.9 2,915 D
Option(1) 22.136 01/29/2003 A 3,300 01/29/2005 01/29/2008 Common Stock 3,300 $22.136 3,300 D
Explanation of Responses:
1. Balances are adjusted for 10% stock dividend payable May 22, 2003 to all shareholders of Glacier Bancorp, Inc.
2. Shares transferred from account held jointly with Mr. Blodnick's wife to family partnership account.
3. Includes 78013 shares held jointly with Mr. Blodnick's wife and 11121 shares held in Mr. Blodnick's Company profit sharing plan.
4. Includes 1760 shares that Mr. Blodnick is custodian for his children, 11436 shares held in an IRA account for the benefit of Mr. Blodnick's wife, 39530 shares owned by Mr. Blodnick's wife and 3100 shares held in a family partnership.
5. Includes 1760 shares that Mr. Blodnick is custodian for his children, 11436 shares held in an IRA account for the benefit of Mr. Blodnick's wife, 39530 shares owned by Mr. Blodnick's wife and 1700 shares held in a family partnership.
6. Includes 1760 shares that Mr. Blodnick is custodian for his children, 11436 shares held in an IRA account for the benefit of Mr. Blodnick's wife, 39530 shares owned by Mr. Blodnick's wife and 1550 shares held in a family partnership.
/s/ Michael J. Blodnick 06/10/2003
** Signature of Reporting Person Date
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* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** 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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