FORM 3 | U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 | OMB APPROVAL OMB Number 3235-0104 Expires: January 31, 2005 Estimated average burden hours per response.....0.5 |
(Print or Type Responses)
1. Name and Address of Reporting Person* Basinger Pamela S. | 2. Date of Event Requiring Statement for 12/31/2002 (1) | 4. Issuer Name and Ticker or Trading Symbol csbb.ob CSB Bancorp, Inc. | ||||||
(Last) (First) (Middle) 7575 Haas Road | 3. I.R.S. Identification Number of Reporting | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
Director
10% Owner X Officer (give
Other (specify title below) below) | 6. If Amendment, Date of | |||||
7. Individual or Joint/Group Filing X Form filed by One Reporting Person
Form filed by More than One Reporting Person | ||||||||
(Street) | ||||||||
Wooster, OH 44691 | Treasurer | |||||||
(City) | (State) | (Zip) | Table I - Non-Derivative Securities Beneficially Owned | |||||
1. Title of Security | 2. Amount of Securities | 3. Ownership Form: | 4. Nature of Indirect Beneficial Ownership | |||||
Common Stock | 2.0000 | D | ||||||
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
1. Title of Derivative Security | 2. Date Exercisable | 3. Title and Amount of Securities | 4. Conversion | 5. Ownership | 6. Nature of Indirect | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Option (Right to Buy) | (2) | 12/31/12 | Common Stock | 500 | $16.05 | D | |
Explanation of Responses: (1) Reporting Person was previously appointed an officer and in conducting a year-end review, it was determined she had not previously filed a Form 3.
(2) The option is fully vested as follows:
Years after the Grant Date
Vested Percentage
Years after the Grant Date
Vested Percentage
Less than 1
0%
At Least 4 but less than 5
80%
At Least 1 but less than 2
20%
At Least 5 but no more than 10
100%
At Least 2 but less than 3
40%
At Least 3 but less than 4
60%
*If the form is filed by more than one reporting person, see Instruction 5(b)(v).
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
/s/ Pamela S. Basinger
1/3/03
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
**Signature of Reporting Person
Date
Pamela S. Basinger
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.