-----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, PVVIPBx8mOWfeoYoNB1ZgMfih2Oi2x13zbStl5OI7kUszfoGk2anAHqAXPSTxxrA CAfQvUa1Px7F3sxO7/wwcg== 0000943374-04-000069.txt : 20040130 0000943374-04-000069.hdr.sgml : 20040130 20040130140711 ACCESSION NUMBER: 0000943374-04-000069 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040130 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WAYNE SAVINGS BANCSHARES INC /DE/ CENTRAL INDEX KEY: 0001036030 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 311557791 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52007 FILM NUMBER: 04555328 BUSINESS ADDRESS: STREET 1: 151 N MARKET ST CITY: WOOSTER STATE: OH ZIP: 44691-4809 BUSINESS PHONE: 3302645767 MAIL ADDRESS: STREET 1: 151 N MARKET ST CITY: WOOSTER STATE: OH ZIP: 44691-4809 FORMER COMPANY: FORMER CONFORMED NAME: WAYNE SAVINGS BANKSHARES INC DATE OF NAME CHANGE: 19970319 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WAYNE SAVINGS BANCSHARES INC /DE/ CENTRAL INDEX KEY: 0001036030 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 311557791 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 151 N MARKET ST CITY: WOOSTER STATE: OH ZIP: 44691-4809 BUSINESS PHONE: 3302645767 MAIL ADDRESS: STREET 1: 151 N MARKET ST CITY: WOOSTER STATE: OH ZIP: 44691-4809 FORMER COMPANY: FORMER CONFORMED NAME: WAYNE SAVINGS BANKSHARES INC DATE OF NAME CHANGE: 19970319 SC 13G/A 1 schedule13g_012904.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. ____)* Wayne Savings Bancshares, Inc. (Name of Issuer) Common Stock, $0.10 par value per share --------------------------------------------------- (Title of Class of Securities) 94624Q101 ------------------ (CUSIP Number) December 31, 2003 ----------------- (Date of Event Which Requires Filing of This Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: |X| Rule 13d-1(b) |_| Rule 13d-1(c) |_| Rule 13d-1(d) *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 ("Act") 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). Page 1 of 5 Pages CUSIP NO. 94624Q101 13G Page 2 of 5 Pages 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON(ENTITIES ONLY) Wayne Savings Community Bank Restated Employee Stock Ownership Plan Trust 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) |_| (b) |X| 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION Ohio NUMBER OF 5 SOLE VOTING POWER SHARES 105,447 BENEFICIALLY OWNED BY 6 SHARED VOTING POWER EACH 148,620 REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 249,638 8 SHARED DISPOSITIVE POWER 4,429 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 254,067 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* |_| 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.5% of 3,907,318 shares of Common Stock outstanding as of December 31, 2003. 12 TYPE IN REPORTING PERSON* EP CUSIP NO. 94624Q101 13G Page 3 of 5 Pages Item 1(a). Name of Issuer: Wayne Savings Bancshares, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 151 North Market Street Wooster, Ohio 44691 Item 2(a). Name of Person Filing: Wayne Savings Community Bank Employee Stock Ownership Plan Trust Trustees: Michael C. Anderson Charles F. Finn Item 2(b). Address of Principal Business Office: 151 North Market Street Wooster, Ohio 44691 Item 2(c). Citizenship or Place of Organization: Ohio Item 2(d). Title of Class of Securities: Common Stock, par value $.10 per share Item 2(e). CUSIP Number: 94624Q101 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: (f) |X| This person is an employee benefit plan subject to the provisions of the Employee Retirement Income Security Act of 1974; see 13d-1(b)(1)(ii)(F). Item 4. Ownership: Based on information available to the Employee Benefit Plan as of December 31, 2003, the reporting person beneficially owned 254,067 shares of the Issuer. This number of shares represents 6.5% of the common stock, par value $.10 per share, of the Issuer, based upon CUSIP NO. 94624Q101 13G Page 4 of 5 Pages 3,907,318 shares of such common stock outstanding as of December 31, 2003. As of December 31, 2003, the reporting person has sole power to vote or to direct the vote of 105,447 shares and the shared power to vote or direct the vote of 148,620 shares. The reporting person has sole power to dispose or to direct the disposition of 249,638 shares of common stock and the shared power to dispose of or direct the disposition of 4,429 shares of common stock. Item 5. Ownership of Five Percent or Less of a Class: Not applicable 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: The reporting person is an employee benefit plan subject to the provisions of the Employee Retirement Income Security Act of 1974. 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 acquired and are held in the ordinary course of business and 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 in connection with or as a participant in any transaction having that purpose or effect. CUSIP NO. 94624Q101 13G Page 5 of 5 Pages 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. Date: January 29, 2004 WAYNE SAVINGS COMMUNITY BANK EMPLOYEE STOCK OWNERSHIP PLAN TRUST By: /s/ Michael C. Anderson Michael C. Anderson, Trustee CUSIP NO. 94624Q101 13G Page 5 of 5 Pages 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. Date: January 29, 2004 WAYNE SAVINGS COMMUNITY BANK EMPLOYEE STOCK OWNERSHIP PLAN TRUST By: /s/ Charles F. Finn Charles F. Finn, Trustee -----END PRIVACY-ENHANCED MESSAGE-----