UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 5
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
|_| Check 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
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1. Name and Address of Reporting Person*
Mulkey Kenneth P.
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(Last) (First) (Middle)
PO Box 989
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(Street)
Bluefield VA 24605
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
First Community Bancshares, Inc. (FCBC)
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3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Year
December 2002
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|_| Director |_| 10% Owner
|X| Officer (give title below) |_| Other (specify below)
Controller
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7. 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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5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
2A. 3. Disposed of (D) Beneficially Form: 7.
2. Deemed Transaction (Instr. 3, 4 and 5) Owned Direct Nature of
Trans- Execution Code ------------------------------- at the End (D) or Indirect
1. action Date, if (Instr. 8) (A) of Issuer's Indirect Beneficial
Title of Security Date any ------------ or Fiscal Year (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Amount (D) Price (Instr. 3 & 4) (Instr.4) (Instr.4)
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COMMON STOCK 01/10/02 R 2.276 A $28.2893 254.7873 I JOINT W/
SPOUSE
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COMMON STOCK 03/29/02 R 2.0644 A $29.8833 254.7873 I JOINT W/
SPOUSE
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COMMON STOCK 06/30/02 R 2.0579 A $30.23 254.7873 I JOINT W/
SPOUSE
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COMMON STOCK 09/27/02 R 1.9829 A $31.63 254.7873 I JOINT W/
SPOUSE
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COMMON STOCK 12/16/02 R 1.9158 A $33.00 254.7873 I JOINT W/
SPOUSE
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COMMON STOCK 1,271.441 I EMPLOYER
KSOP
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* 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)
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10.
9. Owner-
Number ship
2. of of
Conver- 5. 7. Deriv- Deriv- 11.
sion Number of Title and Amount ative ative Nature
or Derivative 6. of Underlying 8. Secur- Secur- of
Exer- 3A. 4. Securities Date Securities Price ities ity: In-
cise Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Bene- Direct direct
Price 3. Execut- action or Disposed Expiration Date ---------------- Deriv- ficially (D) or Bene-
1. of Trans- ion Code of(D) (Month/Day/Year) Amount ative Owned In- ficial
Title of Deriv- action Date if (Instr. (Instr. 3, ---------------- or Secur- at End direct Owner-
Derivative ative Date any 8) 4 and 5) Date Expira- Number ity of Year (I) ship
Security Secur- (mm/dd/ (mm/dd/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity yy) yy) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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COMMON
OPTION TO STOCK
BUY 01/01/02 J(1) A (2) (2) $1.00 PV 1,375.00 $27.11 2,750.00 D
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Explanation of Responses:
(1) Acquisition of a called derivative security granted by corporation under
the First Community Bancshares, Inc. 199 Stock Option Adopted 12/14/99.
(2) Option is exercisable for a period of 5 years after retirement (provided
retirement occurs at or after age 62), disability or death. If employment
is terminated other than by retirement at or after age 62, disability or
death, vested options must be exercised within 90 days after the effective
date of termination. Any option not exercised within such period shall be
deemed cancelled.
/s/ Robert L. Schumacher (His Attorney-in-Fact)
Kenneth P.Mulkey 02/12/2003
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**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.