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*
Hart Debra Mallonee

(Last) (First) (Middle)
CARE OF GREAT SOUTHERN BANK
218 SOUTH GLENSTONE AVENUE

(Street)
SPRINGFIELD MO 65802

(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)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/13/2021
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 04/13/2021 J(1) V 11 A $56.2592 1,765 D
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 to purchase $51.4 (2) 03/15/2027 Common Stock 5,000 5,000 D
Option to purchase $52.2 (3) 11/15/2027 Common Stock 2,000 7,000 D
Option to purchase $55 (4) 11/28/2028 Common stock 2,000 9,000 D
Option to purchase $60.15 (5) 11/20/2029 Common stock 2,000 11,000 D
Option to purchase $41.74 (6) 10/26/2030 Common stock 2,000 13,000 D
Explanation of Responses:
1. DRIP acquisition exempt from Section 16 reporting being reported voluntarily.
2. 1,250 shares vest on 03/15/2019, 03/15/2020, 03/15/2021 and 03/15/2022
3. 500 shares on 11/15/2019, 11/15/2020, 11/15/2021 and 11/15/2022
4. 500 shares vest on 11/28/2020, 11/28/2021, 11/28/2022 and 11/28/2023
5. 500 shares vest on 11/20/2021, 11/20/2022, 11/20/2023 and 11/20/2024
6. 500 shares vest on 10/26/2022, 10/26/2023, 10/26/2024, 10/26/2025
Remarks:
Matt Snyder, Attorney-in-fact for Debra Mallonee Hart 05/12/2021
** Signature of Reporting Person Date
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.