-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FW0r9aqms4BNzniQm/2Bp4+biV3+QyBD/ITkfxwXNPzaNfADsczS7HX7rwg43Qv5 +8ZbMUZkedBgmD0KJzTlwQ== 0000913849-02-000075.txt : 20020414 0000913849-02-000075.hdr.sgml : 20020414 ACCESSION NUMBER: 0000913849-02-000075 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: POKRAK STEVEN J CENTRAL INDEX KEY: 0001167236 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 5400 SOUTH PULASKI ROAD CITY: CHICAGO STATE: IL ZIP: 60632 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PARK BANCORP INC CENTRAL INDEX KEY: 0001013554 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 364082530 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-49477 FILM NUMBER: 02547799 BUSINESS ADDRESS: STREET 1: 500 WASHINGTON ST CITY: COLUMBUS STATE: IL ZIP: 47201 BUSINESS PHONE: 7735828616 MAIL ADDRESS: STREET 1: 5400 SOUTH PULASKI ROAD CITY: CHICAGO STATE: IL ZIP: 60632 SC 13G 1 sc13g_021202.txt SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. Initial)(1) Park Bancorp, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 700164106 - -------------------------------------------------------------------------------- (CUSIP Number) December 30, 2001 - -------------------------------------------------------------------------------- (Date of Event Which requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [X] Rule 13d-1(c) [_] Rule 13d-1(d) - ---------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 700164106 13G Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS Steven J. Pokrak ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [_] (b) [_] ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 53,753 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 9,445 _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 53,753 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH 0 ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 63,198 ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [X] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% of 1,230,905 shares of Common Stock outstanding as of December 31, 2001 ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON IN ________________________________________________________________________________ CUSIP No. 700164106 13G Page 3 of 5 Pages Item 1(a). Name of Issuer: Park Bancorp, Inc. ____________________________________________________________________ Item 1(b). Address of Issuer's Principal Executive Offices: 5400 S. Pulaski, Chicago, Illinois 60632 ____________________________________________________________________ Item 2(a). Name of Person Filing: Steven J. Pokrak ____________________________________________________________________ Item 2(b). Address of Principal Business Office, or, if None, Residence: 5400 S. Pulaski, Chicago, Illinois 60632 ____________________________________________________________________ Item 2(c). Citizenship: U.S. Citizen ____________________________________________________________________ Item 2(d). Title of Class of Securities: Common Stock ____________________________________________________________________ Item 2(e). CUSIP Number: 700164106 ____________________________________________________________________ Item 3. If this statement is filed pursuant to Rule 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a: (a) [_] Broker or dealer registered under Section 15 of the Exchange Act; (b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act; (c) [_] Insurance company as defined in Section 3(a)(19) of the Exchange Act; (d) [_] Investment company registered under Section 8 of the Investment Company Act; (e) [_] Investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [_] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [_] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [_] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [_] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). If this Statement is filed pursuant to Rule 13d-1(c), check this box. [X] CUSIP No. 700164106 13G Page 4 of 5 Pages Item 4. Ownership. (a) Amount beneficially owned: 63,198 ______________________________________________________________________ (b) Percent of class: 5.1% ______________________________________________________________________ (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 53,753 _______________________ (ii) Shared power to vote or to direct the vote: 9,445 _____________________ (iii) Sole power to dispose or to direct the disposition of: 53,753 __________ (iv) Shared power to dispose or to direct the disposition of: 0 ________ The amount beneficially owned by Mr. Pokrak includes 5,402 shares subject to stock options which vest within 60 days and 9,445 shares allocated to his account pursuant to the Employee Stock Ownership Plan for Park Federal Savings Bank (the "Bank") to which there is shared voting power with the plan trustee. Mr. Pokrak disclaims beneficial ownership of 57,371 shares held in the Bank's 401(k) Plan to which Messrs. David A. Remijas, Richard J. Remijas, Jr. and Steven J. Pokrak, as members of the Advisory Plan Committee for the 401(k) Plan, share voting power. The disclaimed shares are not included in Mr. Pokrak's aggregate beneficial ownership. Item 5. Ownership of Five Percent or Less of a Class. Not Applicable. CUSIP No. 700164106 13G Page 5 of 5 Pages Item 6. Ownership of More Than Five Percent on Behalf of Another Person. Not Applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not Applicable. Item 8. Identification and Classification of Members of the Group. Not Applicable. Item 9. Notice of Dissolution of Group. Not Applicable. Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participation in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 14, 2002 /s/ Steven J. Pokrak --------------------------------------- Steven J. Pokrak -----END PRIVACY-ENHANCED MESSAGE-----