FORM 5 ý 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 o 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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| Gaines | Gene | F. | First Community Bancorp (FCBP) | 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) |
X Other (specify below) |
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| 120 Wilshire Blvd. | December 31, 2002 | Consultant, Former Executive | ||||||||||||||||||
| (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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| Santa Monica | California | 90401-2104 | 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 | ||||||||||||||||||||||||||||||||||
*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:
This Form 5 is filed by Mr. Gaines for the sole purpose of reporting that he is no longer subject to Section 16.
| /s/ Gene F. Gaines | 02-11-03 | |
**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