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Marrs Douglas W – ‘5’ for 12/31/04 re: Great Southern Bancorp Inc.

On:  Friday, 2/11/05, at 4:35pm ET   ·   For:  12/31/04   ·   As:  Other   ·   Accession #:  854560-5-15   ·   File #:  0-18082

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/11/05  Marrs Douglas W                   5          Other       1:11K  Great Southern Bancorp Inc.       Great Southern Banc… Inc

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 5   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 5           Annual Statement of Changes in Beneficial           HTML     12K 
                Ownership of Securities by an Insider --                         
                primary_doc.xml/2.2                                              




        

This ‘5’ Document is an XML Data File that may be rendered in various formats:

  Form 5    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Annual Statement of Changes in Beneficial Ownership of Securities by an Insider
 
FORM 5UNITED 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0362
Estimated average burden
hours per response:1.0
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
MARRS DOUGLAS W

(Last)(First)(Middle)
1451 E BATTLEFIELD

(Street)
SPRINGFIELDMO65804

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
GREAT SOUTHERN BANCORP INC [ GSBC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below)XOther (specify below)
Vice President of Subsidiary
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/04
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount(A) or (D)Price
Common stock 478D
Common stock 1,458I401(k) Plan
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)
(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Option to purchase$12.047 (1) 3/17/09Common stock1,000 1,000D
Option to purchase$10.7813 (2) 2/16/10Common stock1,124 2,124D
Option to purchase$7.922 (3) 9/20/10Common stock1,000 3,124D
Option to purchase$12.8975 (4) 9/24/11Common stock2,500 5,624D
Option to purchase$18.1875 (5) 9/18/12Common stock2,500 8,124D
Option to purchase$20.12 (6) 9/25/13Common stock3,000 11,124D
Option to purchase$32.07 (7) 9/22/14Common stock2,250 13,374D
Explanation of Responses:
(1)  500 shares vested on 3/17/03 500 shares vested on 3/17/04
(2)  375 shares vested on 2/16/03 375 shares vested on 2/16/04 374 shares vest on 2/16/05
(3)  250 shares vested on 9/20/02 250 shares vested on 9/20/03 250 shares vested on 9/20/04 250 shares vest on 9/20/05
(4)  625 shares vested on 9/24/03 625 shares vested on 9/24/04 625 shares vest on 9/24/05 625 shares vest on 9/24/06
(5)  625 shares vested on 9/18/04 625 shares vest on 9/18/05 625 shares vest on 9/18/06 625 shares vest on 9/18/07
(6)  750 shares vest on 9/25/05 750 shares vest on 9/25/06 750 shares vest on 9/25/07 750 shares vest on 9/25/08
(7)  563 shares vest on 9/22/06 563 shares vest on 9/22/07 562 shares vest on 9/22/08 562 shares vest on 9/22/09
Matt Snyder, Attorney-in-fact for Douglas W. Marrs 2/11/05
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.

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