UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
and Rule 13a-17 or 15d-17 thereunder
COLUMBIA BANKING SYSTEM, INC.
- -----------------------------------------------------------------------------
(Exact name of issuer as specified in charter)
1102 Broadway Plaza, P.O. Box 2156, Tacoma, Washington. 98401-2156
- -----------------------------------------------------------------------------
(Address of principal executive offices)
Issuer's telephone number, including area code (253) 305-1900
-------------------------------
I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in number of shares
outstanding:
1. Title of security common stock
-------------------------------------------------------
2. Number of shares outstanding before the change 5,225,578
--------------------------
3. Number of shares outstanding after the change 5,486,477
--------------------------
4. Effective date of change May 22, 1997
------------------------------------------------
5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, aquisition of stock for
treasury, etc.): Distribution of shares pursuant to 5% stock dividend
-------------------------------------------------------
6. Give brief description of transaction: On April 23, 1997, the Board of
Directors declared a 5% stock dividend on the shares of common stock issued
and outstanding to stockholders of record on May 8, 1997, payable on
May 22, 1997.
---------------------------------------------------------------------------
I. CHANGE IN NAME OF ISSUER
1. Name prior to change
-----------------------------------------------------
2. Name after change
-----------------------------------------------------
3. Effective date of charter amendment changing name
----------------------
4. Date of shareholder approval of change, if required
----------------------
Date: May 30, 1997 /s/ A. G. Espe
----------------- ---------------------------------
A. G. Espe, Chairman and
Chief Executive Officer